Labayle J, Dahan S
Ann Otolaryngol Chir Cervicofac. 1981;98(12):587-92.
The technique, indications, and results of the surgical operation known as reconstructive laryngectomy are described. The intervention involves the performance of a supracricoid subtotal laryngectomy with conservation of an arytenoid, followed by a cricohyoidopexy. This allows re-establishment of the triple function of the aerodigestive junction : phonatory, respiratory, and deglutition; a permanent tracheotomy thus not being necessary. Analysis of results of 103 operations of this type demonstrated that, when conducted under very precise conditions concerning the indications for surgery and the technique employed (conservation of recurrent nerve function of one side), the percentage of permanent tracheotomies following laryngectomy diminished from 72 to 33 p. cent.
本文描述了一种名为喉重建切除术的外科手术技术、适应症及手术结果。该手术包括保留杓状软骨的环状软骨上喉次全切除术，随后进行环舌骨固定术。这样可以重建气道消化道连接部的三重功能：发声、呼吸和吞咽；因此无需进行永久性气管切开术。对103例此类手术结果的分析表明，在关于手术适应症和所采用技术（保留一侧喉返神经功能）的非常精确的条件下进行手术时，喉切除术后永久性气管切开术的比例从72%降至33%。
