Schmid E
Teilgebiet Plastische Chirurgie, Stuttgart, Germany.
Otolaryngol Head Neck Surg. 1993 Apr;108(4):313-21. doi: 10.1177/019459989310800402.
The intention of the following report is to present a concept for constructing a substitute glottis (neoglottis). The concept evolved over the years on the basis of anatomic studies and in the course of plastic reconstructions on patients. It is based on pedicled grafting of a voluntarily controllable--and hence trainable--musculature that might be transplanted into the larynx attached to a neurovascular pedicle. A rima glottidis might be imitated that could be opened and closed from a neutral position. During sleep the neoglottis would be in a relaxed, spasm-free position. A sensitive and tactile stimulus response ought to be possible, as should variations of the state of tension of the substitute vocal muscles.
以下报告的目的是提出一种构建替代声门（新声门）的概念。该概念是在多年的解剖学研究基础上以及对患者进行整形重建的过程中逐渐形成的。它基于带蒂移植可自主控制（因此可训练）的肌肉组织，该肌肉组织可通过神经血管蒂移植到喉部。可以模拟出一个声门裂，使其能够从中立位置打开和关闭。在睡眠期间，新声门将处于放松、无痉挛的状态。应该能够实现敏感的触觉刺激反应，替代声带肌肉的紧张状态变化也应如此。
