联合应用颈部肌筋膜及胸舌骨肌肌筋膜瓣行晚期喉癌术后修复

Reconstruction of larynx with platysma myoides and sternohyoideus myofascil flaps after extended partial laryngectomy

为探讨联合应用颈部肌筋膜瓣行晚期喉癌术后修复的可行性。自1991年2月至1996年12月我们联合应用颈部肌筋膜及胸舌骨肌肌筋膜瓣行晚期喉癌术后修复，治疗22例，术后全部病例均恢复经口进食，并获得不同程度的会话能力，术后3月统计20例拔除气管套管，恢复经口鼻呼吸功能，拔管率90．9％（20／22），3年生存率72．2％（13／18），5年生存率63．6％（7／11）。认为联合应用颈部肌筋膜及胸舌骨肌肌筋膜瓣行晚期喉癌术后修复方法可行，有利于保留喉功能。

To study the feasibility of reconstruction of larynx with platysma my-oides and sternohyoideus myofascil flaps after extend partial laryngectomy. Since l99l to1996, 22 patients (19 males and 3 females) of squamous ce1l carcinoma of larynx with T,categories had been performed reconstruction of larynx with platysma myoides and ster-nohyoideus myofascil flaps after extended partial laryngectomy. After operation,all the22 patients had acquired speech function in different degrees and the swallow functionreturned normal. The decannulation rate was 9O. 8%,and the 3-and 5-year survival rateswere 72. 2% and 63. 6% respectively- The authors concluded that it was feasible to re-construct the larynx with platysma myoides and sternohyoideus myofascil flaps after ex-tended partial laryngectomy. It was helpful to preserve all laryngeal function.