Popovici Z, Marinescu A
Ann Otolaryngol Chir Cervicofac. 1985;102(5):311-5.
An original procedure for pharyngeal reconstruction with colon in pharyngolaryngeal stenosis due to chemical burns has been named "pharyngoplasty vera" by the authors, since the 3 walls of the pharynx are reconstituted by lining it with visceral material. This is in contradiction with previously used techniques in which the graft caps the pharyngostomy produced by resection of scar tissue (pharyngovisceral anastomosis). The procedure generally respects the principles of conventional cutaneous pharyngoplasty--similar approach, extirpation of scar tissue, epiglotto plasty, conservation of constrictor muscles and above all, solid attachment of visceral material to the latter, and finally suture of the colon at the base of tongue and closure of pharynx. The method was used in a patient who regained deglutition rapidly, but the insufficient glottic space did not allow reopening of the canal.
作者将一种用于化学烧伤所致咽喉狭窄的结肠咽重建原始手术命名为“真性咽成形术”，因为咽部的三壁是用内脏材料衬里重建的。这与先前使用的技术相矛盾，在先前的技术中，移植物覆盖由瘢痕组织切除产生的咽造口术（咽内脏吻合术）。该手术通常遵循传统皮肤咽成形术的原则——相似的入路、瘢痕组织切除、会厌成形术、保留咽缩肌，最重要的是，将内脏材料牢固地附着于后者，最后将结肠缝合于舌根并关闭咽部。该方法应用于一名患者，该患者吞咽功能迅速恢复，但声门间隙不足，无法重新开放通道。
