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使用舌骨上肌群的喉成形术——舌骨移位喉成形术

Laryngoplasty using suprahyoid muscles--hyoid transposition laryngoplasty.

作者信息

Morimitsu T, Nagai T, Nagai M, Ide M, Tono T, Kurogi M, Kasano F, Adachi Y, Saku K

出版信息

Auris Nasus Larynx. 1985;12 Suppl 2:S196-9.

PMID:3836641
Abstract

A new technique of laryngoplasty using the function of the suprahyoid muscles (hyoid transposition laryngoplasty) was reported. Total laryngectomy is carried out as usual and the tracheal stump is anastomosed directly to the hypopharynx. The hyoid bone is cut medially, then transpositioned and sutured to the posterolateral margins of the tracheal stump. With this procedure, the new glottis is pressed strongly to the tongue base during swallowing and aspiration is avoided. Postoperative swallowing and speech in the cases operated on with this method were satisfactory, and even nasal respiration was possible in some cases.

摘要

报道了一种利用舌骨上肌群功能的喉成形新技术(舌骨移位喉成形术)。全喉切除术照常进行,气管残端直接与下咽吻合。舌骨在内侧切断,然后移位并缝合到气管残端的后外侧边缘。通过该手术,吞咽时新声门被有力地压向舌根,从而避免误吸。用这种方法手术的病例术后吞咽和言语情况良好,甚至在某些病例中还能进行鼻呼吸。

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