喉次全切除会厌及胸舌骨肌筋膜瓣喉发声及呼吸功能重建  

Repair Reconstruction larynx with Epiglottis and Sternohyoid Myofascial Flap After Subtotal Laryngectomy

作　　者：汪绪元 李翠娥[2] 

机构地区：[1]珠海市香洲区香洲医院耳鼻咽喉科,珠海519000 [2]武汉大学人民医院耳鼻咽喉科

出　　处：《听力学及言语疾病杂志》2004年第5期315-316,共2页Journal of Audiology and Speech Pathology

摘　　要：目的　探讨会厌及胸舌骨肌筋膜瓣在喉次全切除喉发声及呼吸功能重建术中的应用价值。方法　对 7例T3N0 M0 声门型喉癌患者进行喉次全切除术 ,以会厌及胸舌骨肌筋膜瓣重建喉功能。结果　患者均于术后10～ 12天拔除气管套管及鼻饲管恢复正常饮食 ,无明显进食呛咳 ;均恢复正常语言交流 ,未出现喉腔狭窄和发声失败者。Objective To observe the value of epiglottis and sternohyoid myofascial flap in laryngeal function reconstruction after partial laryngectomy.Methods Seven cases of subtotal laryngectomy were reviewed for analysis.The choice of surgical procedure was decided on pathologic conditions,the laryngeal function was reconstructed using epiglottis and sternohyoid myofascial flap.Results All patients rehabilitated deglutition in 10 to 12 days after surgery.None presented complication of aspiration.Conclusion The epiglottis and sternohyoid myofascial flaps are appropriate for reconstruction of surgical defect in laryngeal carcinoma.

关 键 词：喉肿瘤 切除术 喉功能重建术 外科皮瓣 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]