Ohara Kenzo, Katada Akihiro, Kumai Takumi, Ominato Hisataka, Hirata-Nozaki Yui, Sabusawa Tomoaki, Yamaki Hidekiyo, Kono Michihisa, Komatsuda Hiroki, Wakisaka Risa, Takahara Miki, Hayashi Tatsuya, Harabuchi Yasuaki
Department of Otolaryngology-Head and Neck surgery, Asahikawa Medical University, 2-1-1-1, Midorigaoka-Higashi, Asahikawa 078-8510, Japan.
Department of Otolaryngology-Head and Neck surgery, Asahikawa Medical University, 2-1-1-1, Midorigaoka-Higashi, Asahikawa 078-8510, Japan.
Auris Nasus Larynx. 2023 Aug;50(4):628-631. doi: 10.1016/j.anl.2022.04.011. Epub 2022 May 12.
A 15-year-old girl presented with a 3-year-history of continuous outflow of saliva from a pharyngocutaneous fistula, located at 5 mm superior to her tracheal stoma. She was diagnosed with Miller-Dieker syndrome at birth. At 2 years of age, pediatric surgeons at our institution carried out laryngotracheal separation to prevent aspiration pneumonia. At the age of 12 years, she developed continuous saliva discharge from the fistula. We performed central-part laryngectomy and resection of the pharyngocutaneous fistula, which relieved her from the continuous saliva discharge. Central-part laryngectomy is less invasive and easier to perform than total laryngectomy. We hereby present a case and retrospective analysis of 12 patients, who underwent central-part laryngectomy.
一名15岁女孩因咽皮肤瘘持续流涎3年就诊，瘘口位于气管造口上方5毫米处。她出生时被诊断为米勒-迪克尔综合征。2岁时，我院小儿外科医生进行了喉气管分离术以预防吸入性肺炎。12岁时，她开始从瘘口持续流涎。我们进行了喉中部切除术和咽皮肤瘘切除术，这使她不再持续流涎。与全喉切除术相比，喉中部切除术的侵入性更小且更容易实施。我们在此报告一例病例并对12例行喉中部切除术的患者进行回顾性分析。
