Singh W, Hardcastle P
J Laryngol Otol. 1985 Jun;99(6):581-8. doi: 10.1017/s0022215100097280.
The entire larynx is usually sacrificed in the process of surgical treatment of T3 glottic carcinoma, trans-glottic carcinoma and pyriform sinus carcinoma, with consequent loss of speech. Most of the uninvolved, cancer-free part of the larynx is discarded for no good reason. According to the surgical principles of oncology, a tumour should be removed with clear margins, but this does not necessarily mean that the whole organ has to be extirpated. In a recently applied surgical procedure, the small tumour-free part of the larynx is fashioned into an innervated myo-mucosal valved shunt joining trachea and pharynx. This neoglottis allows expiration into the pharynx in speech production but it also contracts during swallowing to avoid aspiration. The first four consecutive cases in which this procedure has been carried out with complete success are presented.
在T3声门癌、跨声门癌和梨状窦癌的外科治疗过程中，通常会切除整个喉部，从而导致失声。大部分未受累且无癌的喉部组织被无端丢弃。根据肿瘤学的外科原则，肿瘤应在切缘清晰的情况下切除，但这并不一定意味着必须切除整个器官。在最近应用的一种外科手术中，将喉部无肿瘤的小部分组织制成带神经支配的肌黏膜瓣分流管，连接气管和咽部。这种新声门在发声时允许气体呼出至咽部，同时在吞咽时收缩以避免误吸。本文介绍了连续成功实施该手术的前四例病例。
