Goodwin W J, Lundy D S, Livingstone A S
Laryngoscope. 1984 Sep;94(9):1153-7. doi: 10.1288/00005537-198409000-00004.
Reconstruction for severe stenosis of the hypopharynx, laryngeal inlet, and/or cervical esophagus is a challenging problem for the surgeon and his patient who want to avoid total laryngectomy. We reviewed the case records of eight patients and the relevant published literature in an effort to define the requirements for success and the causes of failure. A variety of surgical techniques were used. Seven of 8 patients eat a normal or near normal diet. Two of 4 patients, who sustained laryngeal damage at the time of initial injury, required total laryngectomy because of persistent aspiration. The 2 remaining patients and the 4 patients, who did not sustain laryngeal damage at the time of injury, speak with a good voice. Total laryngectomy should be reserved for those patient who cannot be rehabilitated following optimal reconstruction.
对于想要避免全喉切除术的外科医生及其患者而言，下咽、喉入口和/或颈段食管严重狭窄的重建是一个具有挑战性的问题。我们回顾了8例患者的病例记录以及相关的已发表文献，以明确成功的要求和失败的原因。采用了多种手术技术。8例患者中有7例饮食正常或接近正常。4例在初次受伤时喉部受损的患者中，有2例因持续误吸而需要行全喉切除术。其余2例患者以及4例在受伤时未发生喉部损伤的患者声音良好。全喉切除术应仅用于那些在最佳重建后仍无法康复的患者。
