全喉切除盖瓣式发音管成形术的临床应用

CLINICAL APPLICATION OF TOTAL LARYNGECTOMY AND RECONSTRUCTION OF LARYNX WITH MUCOCHONDRAL FLAPS

全喉切除同期利用气管、食管组织瓣和气管粘膜软骨制成盖瓣式发音管，以恢复患者的语音功能。６例手术均获成功。病人术后饮食顺利无误咽，语言清晰，连贯性好，并保持方言和性别特色。经语言及频谱监测，其语言功能接近正常人。

We treated six patients with laryngocarcinoma by total laryngectomy combining withreconstruction of larynx with esophageal mucosal flap and tracheal mucochondral flap to recover thefunction of speech.Satisfactory result was obtained in all of the patients.After operation the patientscould eat and swallow normally,speak clearly and continuously,keep their dialects and sexual character.Articulation tests showed that their function almost reached the level of normal person.