喉扩大部分切除术后会厌下徙加矩形颈部皮瓣修复喉功能

The reconstruction with epiglottic-pull-down and rectangular cervical-skin-flap after extended partial laryngectomy

目的：研究喉扩大或喉次全切除术后喉腔的修复方法。方法：15例T3、T4型声门癌，行喉扩大或喉次全切除术，采用局部矩形颈部皮瓣及会厌下拉修复喉缺损，总结了术后功能恢复情况。结果：术后拔管率86．7％，全部恢复了吞咽功能，3年生存率74％（11／15）。结论：矩形颈部皮瓣加会厌下拉修复喉扩大或喉次全切除术后喉缺损是一种较好的方法。

Objective:To study the larynx reconstruction after extended partial la-ryngectomy. Methods: Fifteen patients of T, and T4 glottic cancer were treated by ex-tended vertical partial or subtotal laryngectomy. The larynx function was reconstructedby epiglottic-pull-down and rectangular cervical-skin-flap. Results: The decannulationrate was 86. 7 % and all the patients resumed normal mouth-food-taking. The 3-year sur-vival rate was 74%. Conclusions:The rectangular cervical-skin-flap and epiglottic-pull-down were good means to reconstruct the larynx function after extended partial orsubtotal laryngectomy.