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本文报告两例吞服碱性液后发生咽腔严重狭窄和食管闭锁患者,经游离空肠移植术治疗后均恢复了吞咽和语言功能。我们在手术中改进了肠咽吻合口,使吻合口扩大,低于喉入口平面,使喉咽腔呈漏斗状,形成一个无底的梨状窝,从而解决了患者吞咽和语言功能等问题。本文讨论了咽喉疤痕挛缩的特点和会厌软骨分流作用的关系。对有意吞服腐蚀剂的患者强调早期分离或扩张,以减轻或避免喉咽腔狭窄。
This article reports two cases of swallowing alkaline solution after the occurrence of severe pharyngeal stenosis and esophageal atresia patients, after the treatment of free jejunum were swallowing recovery and language function. In the operation, we improved the anastomosis of the enterohepatic pharynx to enlarge the anastomotic space below the level of the laryngeal inlet so that the pharyngeal and pharyngeal funnels were funnel-shaped to form a bottomless pear-shaped socket, thus solving the problems of swallowing and language function. This article discusses the relationship between the characteristics of throat scar contracture and epiglottic cartilage shunt. Intentional swallowing corrosive patients stressed the early separation or expansion to reduce or avoid the hypopharyngeal stenosis.