Griffiths C M, Love J T
Ann Otol Rhinol Laryngol. 1978 Mar-Apr;87(2 Pt 1):180-4. doi: 10.1177/000348947808700206.
This paper is a preliminary report on neoglottic reconstruction of the larynx after total laryngectomy following the techniques described by Staffieri. Also included are general observations on the criteria for selecting candidates for this procedure. At the University of Texas Medical Branch in Galveston, this procedure has been attempted on eight candidates. Reconstruction was accomplished in six, of whom five achieved satisfactory speech, providing an 80% success rate. One of the five did not like the quality of his voice and refused to use it. The sixth produced speech with difficulty and is still undergoing speech therapy. One patient died from recurrence before a second stage could be carried out, and another patient did not have sufficient tissue for neoglottic reconstruction after total laryngectomy. Three patients developed salivary fistulas at the drain site, but all closed spontaneously with the application of pressure. From this data, one may conclude that this technique offers much potential and warrants further study.
本文是一篇关于采用斯塔菲耶里所描述的技术在全喉切除术后进行喉新声门重建的初步报告。文中还包括了对该手术候选者选择标准的总体观察。在加尔维斯顿的德克萨斯大学医学分校，已对八名候选者尝试了该手术。六例完成了重建，其中五例获得了满意的语音效果，成功率为80%。五例中的一例不喜欢自己的嗓音质量，拒绝使用。第六例发声困难，仍在接受言语治疗。一名患者在能够进行第二阶段手术前因复发死亡，另一名患者在全喉切除术后没有足够的组织用于新声门重建。三名患者在引流部位出现唾液瘘，但通过施加压力后均自行愈合。根据这些数据，可以得出结论，该技术具有很大的潜力，值得进一步研究。
