Butcher R B, Dunham M
Laryngoscope. 1984 Jul;94(7):959-62. doi: 10.1288/00005537-198407000-00019.
With the advent of extended partial laryngectomy for T2 and selected T3 true vocal cord carcinomas, the head and neck surgeon has had to deal not only with the rehabilitation of voice, but with the problem of laryngeal stenosis with obstruction of laryngeal airflow. To manage this difficult problem, it is necessary to restore the cartilagenous superstructure to prevent collapse of the laryngeal soft tissues. This is best done at the time of initial cancer resection. At the time of extended frontal lateral hemilaryngectomy, an exact template of the resected cartilage is made. From this, a composite nasal septal cartilage graft is utilized to restore the laryngeal superstructure. The anterior commissure is reconstructed by scoring the septal cartilage. It has been our experience with this procedure that the neoglottis remains both competent and functional.
随着T2和部分选定的T3期真性声带癌扩大部分喉切除术的出现，头颈外科医生不仅要应对嗓音康复问题，还要处理喉狭窄伴喉气流阻塞的问题。为解决这一难题，有必要恢复软骨上层结构以防止喉软组织塌陷。这最好在初次癌症切除时完成。在扩大额侧半喉切除术时，制作切除软骨的精确模板。据此，利用复合鼻中隔软骨移植物来恢复喉上层结构。通过对鼻中隔软骨进行刻痕来重建前联合。我们在该手术中的经验是，新声门保持功能正常且具备发声功能。
