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复合舌骨-胸骨舌骨肌移植术治疗已形成的声门下狭窄。

Composite hyoid-sternohyoid graft in the correction of established subglottic stenosis.

作者信息

Freeland A P

出版信息

J R Soc Med. 1981 Oct;74(10):729-35. doi: 10.1177/014107688107401005.

DOI:10.1177/014107688107401005
PMID:7288782
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1439236/
Abstract

A new technique for the treatment of subglottic stenosis is reported. A composite hyoid bone with sternohyoid muscle graft is used to replace the anterior arch of the cricoid, combined with a vertical split of the posterior laminal of the cricoid. Internal splinting is maintained with a Silastic mould. Ten patients with established subglottic stenosis, 7 from traumatic and 3 from non-traumatic causes, have been treated. All patients needed a tracheostomy for maintenance of an airway prior to operation. Nine patients were successfully decannulated two weeks after removal of the internal Silastic splint. Five of the 10 patients were children under the age of 13 years.

摘要

报道了一种治疗声门下狭窄的新技术。采用带胸骨舌骨肌的复合舌骨移植来替代环状软骨前弓,并联合环状软骨后板垂直劈开。使用硅橡胶模具进行内部支撑。对10例确诊为声门下狭窄的患者进行了治疗,其中7例由创伤引起,3例由非创伤原因引起。所有患者在手术前均需行气管切开术以维持气道通畅。9例患者在取出内部硅橡胶支撑物两周后成功拔管。10例患者中有5例为13岁以下儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/694c315f8f8b/jrsocmed00256-0030-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/880cd49412c8/jrsocmed00256-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/cfe847b217b3/jrsocmed00256-0029-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/3d8f161436a3/jrsocmed00256-0029-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/db288bd533cf/jrsocmed00256-0030-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/694c315f8f8b/jrsocmed00256-0030-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/880cd49412c8/jrsocmed00256-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/cfe847b217b3/jrsocmed00256-0029-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/3d8f161436a3/jrsocmed00256-0029-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/db288bd533cf/jrsocmed00256-0030-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baab/1439236/694c315f8f8b/jrsocmed00256-0030-b.jpg

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Composite hyoid-sternohyoid graft in the correction of established subglottic stenosis.复合舌骨-胸骨舌骨肌移植术治疗已形成的声门下狭窄。
J R Soc Med. 1981 Oct;74(10):729-35. doi: 10.1177/014107688107401005.
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引用本文的文献

1
Traumatic laryngotracheal stenosis treated by hyoid-sternohyoid osseomuscular flap combined with xenogenic acellular dermal matrix: A case report and literature review.舌骨-胸骨舌骨肌骨肌皮瓣联合异种脱细胞真皮基质治疗创伤性喉气管狭窄:病例报告及文献复习
J Int Med Res. 2017 Oct;45(5):1486-1494. doi: 10.1177/0300060517705985. Epub 2017 May 8.
2
A historical overview of the aetiology and treatment of laryngeal stenosis.
Arch Otorhinolaryngol. 1989;246(5):336-40. doi: 10.1007/BF00463589.

本文引用的文献

1
Laryngeal strictures.喉狭窄
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2
Operative treatment of severe chronic traumatic laryngeal stenosis in infants up to three years old.三岁以下婴儿重度慢性创伤性喉狭窄的手术治疗
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The management of subglottic laryngeal stenosis by resection and direct anastomosis.
Laryngoscope. 1974 Jun;84(6):940-57. doi: 10.1288/00005537-197406000-00008.
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Surgical correction of subglottic stenosis of the larynx. Prelimenary report of an experimental surgical technique.喉声门下狭窄的外科矫正。一种实验性外科技术的初步报告。
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Laryngo-tracheoplasty.喉气管成形术
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Hyoid autograft repair of chronic subglottic stenosis.
Ann Otol Rhinol Laryngol. 1975 Sep-Oct;84(5 Pt 1):643-9. doi: 10.1177/000348947508400515.
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Cricoid arch replacement in dogs. Further studies.犬环状软骨弓置换术。进一步研究。
Arch Otolaryngol. 1975 Jan;101(1):42-5. doi: 10.1001/archotol.1975.00780300046013.
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Surgical correction of subglottic stenosis of the larynx. Clinical results of the Fearon-Cotton operation.喉声门下狭窄的外科矫正。费伦-科顿手术的临床结果。
J Otolaryngol. 1976 Dec;5(6):475-8.
9
Composite hyoid sternohyoid muscle grafts in humans. Its use in reconstruction of subglottic stenosis and the anterior tracheal wall.
Arch Otolaryngol. 1977 Sep;103(9):531-4. doi: 10.1001/archotol.1977.00780260061006.