Freeman J L, Dindzans L J, Noyek A M
J Otolaryngol. 1985 Dec;14(6):387-90.
A thyroidectomy is required in the surgical management of advanced malignancy of the larynx and hypopharynx when there is direct or potential extension to the thyroid of disease from the primary site or adjacent, involved lymph nodes. The parathyroids are at risk of injury either by inadvertent sacrifice with the en bloc resection, or as a result of surgical devascularization. At times the glands must be resected with the specimen. The incidence of postoperative parathyroid insufficiency may be decreased by re-implantation of the glands into the antecubital fossa. A series of parathyroid re-implantations in patients with advanced malignancy of the larynx and hypopharynx is reviewed.
对于晚期喉癌和下咽癌患者，若肿瘤从原发部位或相邻受累淋巴结直接侵犯或可能侵犯甲状腺，则手术治疗时需行甲状腺切除术。甲状旁腺有因整块切除时意外牺牲或手术导致血运障碍而受损的风险。有时必须将甲状旁腺与标本一并切除。通过将甲状旁腺重新植入肘前窝，可降低术后甲状旁腺功能减退的发生率。本文回顾了一系列针对晚期喉癌和下咽癌患者的甲状旁腺重新植入手术。
