保留舌骨的声门上部分喉切除术改良：一项尸体研究
Modification of supraglottic partial laryngectomy to preserve hyoid bone: a cadaveric study.
作者信息
Ikeda Masakazu, Imaizumi Mitsuyoshi, Murono Shigeyuki
机构信息
Department of Otolaryngology, School of Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima City, 960-1295, Japan.
出版信息
Eur Arch Otorhinolaryngol. 2025 May 20. doi: 10.1007/s00405-025-09452-3.
BACKGROUND
Supraglottic partial laryngectomy (SGPL) preserving the hyoid bone is expected to maintain laryngeal elevation by the suprahyoid muscles. However, the surgical technique has not been adequately validated. We describe the procedure, which preserves the hyoid body and suprahyoid muscle complex to maintain laryngeal elevation and provides access to the pharynx.
METHOD
Using cadaveric studies, we modified the SGPL procedure with a goal of preserving the hyoid bone, and performed the procedure in a 67-year-old man with large cell neuroendocrine carcinoma.
CONCLUSION
This modified SGPL technique aims to preserve the hyoid body while maintaining safety margins and supporting long-term swallowing function.
背景
保留舌骨的声门上部分喉切除术（SGPL）有望通过舌骨上肌群维持喉的抬高。然而，该手术技术尚未得到充分验证。我们描述了一种保留舌骨体和舌骨上肌复合体以维持喉抬高并提供进入咽腔通道的手术方法。
方法
通过尸体研究，我们对SGPL手术进行了改良，目的是保留舌骨，并在一名患有大细胞神经内分泌癌的67岁男性患者身上实施了该手术。
结论
这种改良的SGPL技术旨在保留舌骨体，同时保持安全切缘并支持长期吞咽功能。
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