Naudo P, Laccourreye O, Weinstein G, Jouffre V, Laccourreye H, Brasnu D
Department of Otorhinolaryngology-Head and Neck Surgery, Laënnec Hospital, Assistance Publique des Hôpitaux de Paris, University Paris V, France.
Otolaryngol Head Neck Surg. 1998 Jan;118(1):124-9. doi: 10.1016/S0194-5998(98)70388-2.
We present a review of the postoperative course, complications, and functional outcome of 190 patients consecutively treated with supracricoid partial laryngectomy with cricohyoidoepiglottopexy. The average times until removal of the tracheostomy and nasogastric feeding tubes were 9 and 16 days, respectively. The postoperative mortality rate was 1%. Major complications included pneumonia from aspiration, cervical wound infection, symptomatic laryngocele, ruptured pexis, laryngeal chondroradionecrosis, and laryngeal stenosis in 8.5%, 4.2%, 3.1%, 1%, 0.5%, and 0.5% of the patients, respectively. Completion total laryngectomy, permanent gastrostomy, and permanent tracheostomy were requested in 0.5% of the patients. Normal swallowing without gastrostomy and respiration without tracheostomy was achieved by the first postoperative year in 98.4% (187/190) of the patients. This article presents a univariate analysis of the potential correlation between various variables and the duration of tracheostomy and the length of time the nasogastric feeding tubes were inserted, the mortality incidence and causes, the incidence and type of the various complications, and the duration of hospitalization. Comparison of our data with the reported functional results after vertical partial laryngectomy suggested that supracricoid partial laryngectomy with cricohyoidoepiglottopexy does not result in an increased rate of postoperative complications.
我们对190例连续接受环状软骨上部分喉切除术加环状软骨舌骨会厌固定术治疗患者的术后病程、并发症及功能结果进行了综述。气管切开术和鼻胃饲管拔除的平均时间分别为9天和16天。术后死亡率为1%。主要并发症包括误吸性肺炎、颈部伤口感染、有症状的喉膨出、固定术破裂、喉软骨放射性坏死和喉狭窄，分别占患者的8.5%、4.2%、3.1%、1%、0.5%和0.5%。0.5%的患者需要行全喉切除术、永久性胃造口术和永久性气管切开术。98.4%（187/190）的患者在术后第一年内实现了无需胃造口的正常吞咽和无需气管切开的呼吸。本文对各种变量与气管切开术持续时间、鼻胃饲管插入时间、死亡率及原因、各种并发症的发生率和类型以及住院时间之间的潜在相关性进行了单因素分析。将我们的数据与报道的垂直部分喉切除术后的功能结果进行比较，结果表明环状软骨上部分喉切除术加环状软骨舌骨会厌固定术不会导致术后并发症发生率增加。
