Lam K H, Wei W I, Wong J, Ong G B
Laryngoscope. 1983 Feb;93(2):212-5. doi: 10.1288/00005537-198302000-00018.
A new technique for construction of the tracheostome at the time of total laryngectomy is described. It involves making an X-shaped incision on the lower skin flap and four slits on the divided trachea. The result is a serrated suture line at the tracheocutaneous junction. The incidence of stenosis in 116 patients who did not have this method of construction was 31%. Sex difference and previous irradiation was not found to be related to the occurrence of stenosis. Of 25 patients who had the new method of tracheostome construction, only one patient had to wear a tube until she died at 7 months. The rest, followed up for at least 9 months, did not have stenosis. It is concluded that this new method of tracheostome construction will reduce the incidence of stenosis.
本文描述了一种在全喉切除术时构建气管造口的新技术。该技术包括在下皮瓣上做一个X形切口，并在切开的气管上做四个切口。结果是在气管皮肤交界处形成锯齿状缝合线。116例未采用这种构建方法的患者中，狭窄发生率为31%。未发现性别差异和既往放疗与狭窄的发生有关。在25例采用新的气管造口构建方法的患者中，只有1例患者在7个月死亡前一直佩戴气管套管。其余患者随访至少9个月，均未出现狭窄。结论是这种新的气管造口构建方法将降低狭窄发生率。
