应用气管食管壁组织瓣的发音重建术  

Voice Rehabilitatiou Using Tissue Flap of Trachea and Esophagus

作　　者：汪志山[1] 曲淑敏[1] 张少华[1] 

机构地区：[1]河北任丘市华北石油管理局总医院耳鼻咽喉科

出　　处：《中华耳鼻咽喉科杂志》1995年第6期359-360,共2页Chinese Journal of Otorhinolaryngology

摘　　要：全喉切除后在气管食管的后壁切一下向性组织瓣，把组织瓣插入食管腔，形成瘘口。组织瓣的尖端保留２～３ｍｍ不予切断，利用尖端牵拉组织瓣，使之更好地遮盖瘘口，防止食物进入气管。用此法行发音重建１１例，５例发音良好，３例发音比较费力，３例瘘口闭塞改为食管音。本术式操作简便，术后发音容易，不需特殊训练，并发症少。A downward facing tissue flap from the posterior wall of trachea and the anterior wall of esophagus was made after total laryngectomy, then inserted into the esophageal cavity to form a fistula. In order to cover the fistular opening and also to avoid food aspiration,2～3mm of the valvular tip must be kept.Of 11 cases undergoing this operation, 5 patients obtained a good vocalization,a comparative dysphonia occurred in 3 patients and another 3 patients got a esophageal voice due to shut of their fistu- lae. We consider this method a rather simple one,vocalization can recover easily without any special training,and also there were few complications will emerge.

关 键 词：喉肿瘤 外科手术 重建术 气管壁 食管壁 皮瓣 

分 类 号：R739.650.5[医药卫生—肿瘤] R767.91[医药卫生—临床医学]