Danić D, Milicić D, Prgomet D, Leović D
Department of Otorhynolaryngology and Cervicofacial Surgery, Dr Josip Bencević General Hospital, Slavonski Brod, Croatia.
Acta Med Croatica. 1995;49(1):33-7.
During the war in Croatia in the region of Brodska Posavina at the Medical Center in Slavonski Brod, 7,043 wounded were treated. The Otolaryngology and Oral Surgery Service treated 728 wounded, of whom 20 had laryngeal injuries. Most of the injuries were caused by shrapnel from shells, mines, and hand grenades. Nineteen wounded had associated injuries of the neck, head, and the neck and/or other parts of the body. The authors performed in 8 surgical explorations and immediate reconstruction with the median layer of the deep cervical fascia (MLDCF). Upon termination of the treatment, the nineteen wounded had good respiration without signs of stenosis of the larynx. Twelve had good phonation, five satisfactory phonation, and two bad. None had swallowing difficulties. Among the eight wounded on whom the reconstruction of the larynx was done with cervical fascia, four had very good phonation, three satisfactory, and the eight died on the sixth postoperative day because of associated injuries to the cervical spine. The cervical fascia proved itself to be a suitable material in the immediate reconstruction of exogenous war injuries of the larynx.
在克罗地亚战争期间，在斯拉沃尼亚布罗德的医疗中心所在的布罗德斯卡波萨维纳地区，共治疗了7043名伤员。耳鼻喉科和口腔外科服务部门治疗了728名伤员，其中20人有喉部损伤。大多数损伤是由炮弹、地雷和手榴弹的弹片造成的。19名伤员伴有颈部、头部以及颈部和/或身体其他部位的损伤。作者对其中8名伤员进行了手术探查，并立即用颈深筋膜中层（MLDCF）进行重建。治疗结束时，19名伤员呼吸良好，无喉部狭窄迹象。12人发声良好，5人发声尚可，2人发声差。无人有吞咽困难。在8名用颈筋膜进行喉部重建的伤员中，4人发声非常好，3人发声尚可，8人在术后第六天因颈椎相关损伤死亡。颈筋膜被证明是对外源性战争所致喉部损伤进行即时重建的合适材料。
