Silva N, Lore J M
Laryngoscope. 1977 Jul;87(7):1165-8. doi: 10.1288/00005537-197707000-00019.
Despite the low occurrence of early laryngeal lesions amenable to Partial Supraglottic Laryngectomy, they form a very interesting and important group of lesions. Timing is important in their recognition, since adequate treatment can then be secured and important functions of the larynx preserved. The draw back in the treatment of these lesions by partial laryngectomy lies in the difficulty in restoring the patient to his preoperative pattern of life. Repeated aspiration pneumonitis becomes a life threatening problem in a good number of such patients. A new method of reconstruction is described here by which the aspiration problem is obviated with the aid of a pedicle flap to line the raw surface of the transected base of the tongue allowing the organ to remain in a position capable of occluding the glottis during deglutition, and at the same time guiding the food along the posterior pharyngeal wall and into the esophagus.
尽管适合部分声门上喉切除术的早期喉部病变发生率较低，但它们构成了一组非常有趣且重要的病变。识别这些病变时时机很重要，因为这样就能确保进行充分治疗并保留喉部的重要功能。通过部分喉切除术治疗这些病变的缺点在于难以使患者恢复到术前的生活模式。在许多此类患者中，反复发生的吸入性肺炎成为危及生命的问题。本文描述了一种新的重建方法，借助带蒂皮瓣覆盖横断的舌根创面来消除误吸问题，使器官保持在吞咽时能够闭合声门的位置，同时引导食物沿咽后壁进入食管。
