颈部肌皮瓣喉再造发音重建术的探索  

The study on voice rehabilitation by reconstruction of larynx with myocutaneous flap of neck

作　　者：徐普庆[1] 邱椿林[1] 周顶斌[1] 

机构地区：[1]常州市肿瘤医院头颈科,江苏常州213001

出　　处：《现代肿瘤医学》2005年第4期516-517,共2页Journal of Modern Oncology

摘　　要：目的探讨颈部肌皮瓣喉再造术的方法和操作要点。方法2000年10月～2003年9月间对11例喉全切除术后患者行颈部肌皮瓣喉再造发音重建术。用颈部肌皮瓣连接下咽和气管,形成类似“会厌”和“声带”的结构,由此达到能发音、呼吸且无明显呛咳的目的。结果全部患者术后都较好的恢复了发音,且音量音质接近正常人,呛咳等并发症轻微。结论该手术操作较简单,效果确切,后遗症小,是一种较好的喉再造术式。Objectives To investigate the method of reconstruction of larynx with myocutaneous flap of neck and the key issues of the operation. Methods In order to acquired normal functions of speech and breath, from October 2000 to September 2003 a total of 11 laryngectomized patients accepted reconstruction of larynx by simulating the structure of epiglottis and vocal cords with myocutaneous flap of neck which connects hypopharynx with trachea. Results All patients restored speech function with almost normal volume and quality of voice but slight sequelaes such as cough. Conclusion Reconstruction of larynx with myocutaneous flap of neck is acceptable as a simple and effective way for voice rehabilitation.

关 键 词：喉全切除术 发音重建 颈部肌皮瓣 

分 类 号：R730.56[医药卫生—肿瘤]