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环状软骨上喉切除术:喉癌治疗的一项重大进展。

Supracricoid laryngectomy: a significant advance in the management of laryngeal cancer.

作者信息

Coman W B, Grigg R G, Tomkinson A, Gallagher R M

机构信息

Department of Otolaryngology, University of Queensland, Princess Alexandra Hospital, Brisbane, Australia.

出版信息

Aust N Z J Surg. 1998 Sep;68(9):630-4. doi: 10.1111/j.1445-2197.1998.tb04831.x.

Abstract

Supracricoid laryngectomy is a new development in the treatment of laryngeal cancer in Australia. It allows the removal of both vocal cords, vestibular folds, and the entire thyroid cartilage including the paraglottic space without the loss of laryngeal function. This technique may offer a significant advance in the treatment of squamous cell carcinoma of the larynx. This paper reviews the surgical management of laryngeal cancer and discusses this new technique with modifications, indications for its use and the advantages of supracricoid laryngectomy. Case reports of seven patients operated on in our institution are included.

摘要

环状软骨上喉切除术是澳大利亚喉癌治疗领域的一项新进展。它能够切除双侧声带、前庭襞以及包括声门旁间隙在内的整个甲状软骨,同时保留喉功能。这项技术可能会在喉鳞状细胞癌的治疗方面带来重大进展。本文回顾了喉癌的外科治疗方法,并讨论了这项新技术及其改良方法、使用指征和环状软骨上喉切除术的优势。文中还纳入了我们机构为7例患者实施手术的病例报告。

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