Donald P J
Department of Otolaryngology-Head and Neck Surgery and the Center for Skull Base Surgery, University of California-Davis, Sacramento, USA.
Ann Otol Rhinol Laryngol. 1998 Sep;107(9 Pt 1):745-52. doi: 10.1177/000348949810700902.
Many surgical procedures have been devised to manage laryngotracheal stenosis secondary to trauma. Laryngotracheal atresia is the most severe form and the most difficult to repair. The Meyer procedure is a three-stage operation that provides structural support that is covered with mucosa. A laryngotracheal trough is created and a carved trough-shaped cartilage graft is placed above and lateral to it in the first stage. The skin over the graft is replaced by buccal mucosa in the second stage. In the last stage, the cartilage graft with overlying mucosa is swung onto the trough as a composite flap replacing the anterior and lateral laryngeal and tracheal walls. Attempt at reconstruction was made in 8 patients. All but one lesion was secondary to endotracheal intubation. Two patients were unable to be taken to completion of the third stage. Of the remaining 6 patients, all have a functional voice and only 1 remains cannulated at night.
已经设计了许多外科手术来治疗创伤继发的喉气管狭窄。喉气管闭锁是最严重的形式，也是最难修复的。迈耶手术是一种分三个阶段的手术，提供由黏膜覆盖的结构支撑。在第一阶段，创建一个喉气管沟，并在其上方和外侧放置一块雕刻成沟状的软骨移植物。在第二阶段，移植物上方的皮肤被颊黏膜替代。在最后阶段，带有覆盖黏膜的软骨移植物作为复合皮瓣摆动到沟上，替代喉和气管的前壁和侧壁。对8例患者进行了重建尝试。除1例病变外，所有病变均继发于气管插管。2例患者无法完成第三阶段手术。其余6例患者中，所有患者都有功能性嗓音，只有1例患者夜间仍需插管。
