Laurian N, Zohar Y
Laryngoscope. 1981 Apr;91(4):609-16. doi: 10.1288/00005537-198104000-00015.
We have used autogenous nasal mucoseptal (NMS) graft for the reconstruction of the larynx after partial laryngectomy in glottic carcinoma invading the anterior commissure, for the past three years. The composite graft, readily available and obtained without sequela, provides satisfactory and large enough replacement tissue. It provides both a dependable rigid cartilaginous wall and a respiratory mucous lining of the lumen. The method was found to be simple and effective in bridging the laryngeal defect. The free NMS graft was used for reconstruction after extended frontal and frontolateral laryngectomy in 10 patients. The patients were successfully decannulated within 4 to 6 days after the operation and in none of the cases was nasogastric feeding tube or laryngeal stenting necessary. In eight patients anatomical and functional results were achieved; the neolarynx prevented a permanent tracheostomy and a fair voice was obtained.
在过去三年中，我们使用自体鼻黏膜鼻中隔（NMS）移植物对侵犯前联合的声门癌行部分喉切除术后的喉部进行重建。这种复合移植物易于获取且无后遗症，能提供足够大且令人满意的替代组织。它既提供了可靠的刚性软骨壁，又提供了管腔的呼吸性黏膜内衬。结果发现该方法在修复喉部缺损方面简单有效。10例患者在扩大的额侧和额外侧喉切除术后使用游离NMS移植物进行重建。患者术后4至6天成功拔管，无一例需要鼻饲管或喉部支架。8例患者获得了解剖和功能上的良好结果；新喉避免了永久性气管造口，并获得了尚可的嗓音。
