Kirchner F R
Laryngoscope. 1981 Nov;91(11):1860-4. doi: 10.1288/00005537-198111000-00010.
In the past 15 years surgery of the endolarynx has been greatly expanded. This development has been the product of three main factors: technological advancements such as the microcautery, improved knowledge about the healing properties of the endolarynx, and new surgical techniques. These types of approaches are being increasingly used in the treatment of complex reconstructive procedures of the larynx. An integral part of these new procedures are special suturing techniques. At present suturing techniques are being used to fulfill a number of requirements, including approximation and lateralization of anatomical structures for operative or exposure purposes, intraoperative retraction of endotracheal tubes, closure of wounds and securement and fixation of skin grafts, intralaryngeal molds, and interfacing Silastic sheeting materials. With amazing simplicity the above requirements can be met if a few basic steps are comprehended and followed.
在过去15年里，喉内手术有了极大的发展。这一发展是三个主要因素共同作用的结果：诸如微型电灼器等技术进步、对喉内愈合特性的了解加深以及新的手术技术。这些方法越来越多地用于喉部复杂重建手术的治疗。这些新手术的一个不可或缺的部分是特殊的缝合技术。目前，缝合技术被用于满足多种需求，包括为手术或暴露目的使解剖结构接近和侧移、术中牵拉气管内插管、闭合伤口以及固定皮肤移植物、喉内模具和连接硅橡胶片材料。如果理解并遵循几个基本步骤，就能极其简便地满足上述要求。
