论文部分内容阅读
全喉切除术后喉功能重建的手术方法有数种,尤其发音功能的重建已有许多成功报道,但在一期重建喉的发音、呼吸、吞咽功能,三者同时达到满意效果方面皆存在一定问题。我科在1993年9~11月进行了一种新喉再造手术方法的实验研究,即切除狗喉后利用颈段气管1~5环,剖开其2、3、4环制成扇状拱形作为新喉的支架,支架背面用甲状软骨膜及胸舌骨肌瓣包绕,新喉口设在舌根下呈“一”形。再造的新喉能一期恢复三大功能,效果满意。
There are several surgical methods for reconstruction of laryngeal function after total laryngectomy. In particular, there have been many successful reports on the reconstruction of phonological function. However, there are some problems in reconstructing the pronunciation, breathing and swallowing functions of the larynx at the same time, all of which achieve satisfactory results at the same time . Our department in September 1993 to November conducted a new method of laryngeal reconstructive surgery experimental study, that is, after the removal of the dog laryngeal using the trachea 1 ~ 5 ring, cut open its 2,3,4 ring fan-shaped arch As the new laryngeal stent, the back of the stent is surrounded by the thyroid perichondrium and the musculo-musculocutaneous flap. The new laryngeal orifice is located under the base of the tongue with a “one” shape. Reconstruction of the new throat to restore the three functions, the effect is satisfactory.