颈皮瓣在喉重建术中的应用

THE APPLICATION OF CERVICAL SKIN FLAP IN THE RECONSTRUCTION OF LARYNX /

总结了１９８８年１１月～１９９４年４月，在喉癌切除术后，采用颈部皮瓣转移重建喉７８例的临床效果。术后３～６个月，全部患者作纤维喉镜及间接喉镜检查。发现植入的皮肤角化上皮变深，１例患者有毛发生长。经３个月～５年随访，均可用新喉进行发音、吞咽及呼吸。生存３年以上３２例，有２例复发死亡。术后６例发生喉瘘，２例喉瘢痕狭窄。讨论了术后并发症的发生原因及预防方法。认为。

From Nov. 1988 through Apr. 1994, 78 cases with laryngocarcinoma underwent laryngectomy and laryngeal reconstruction by the use of transfered cervical skin. Three to six months after operation, all patients were subjected to direct or indirect laryngoscope. It was found that the keratinized of layer of the transfered skin tended to be thining out, and that hair had grown in one case. With the follow up ranging from 3 months to 5 years, the results were good. All patients following the reconstruction of larynx could phonate, swallow and breath. Postoperatively, 32 patients were alive for 3 years, 2 patients died from recurrence of laryngocarcinoma. The complications included laryngeal fistula in 6 cases and laryngostenosis in 2 cases. The cause as well as the prevention of complications were discussed. It was suggested that the transfer of cervical flap was feasible for laryngeal reconstruction.