喉部分切除会厌喉成形术疗效研究(附32例报告)

Reconstruction of laryngeal function by epiglottis cartilage in partial laryngectomy

目的 :探讨会厌喉成形术的可行性及手术方法 ;。方法 :行喉部分切除术后用会厌软骨行喉成形术32例。结果 :在彻底切除喉癌后 ,下移会厌修复残存喉腔的前壁或侧前壁 ,患者恢复了全部或部分 (发声、吞咽保护 )喉功能并保留了会厌的全部或部分功能。 3年、5年存活率分别为 87.5%、76% ,发音成功率为1 0 0 %。结论 :会厌是喉部分切除喉成形术理想的修复材料之一。

Objective:To study the feasibility and the surgical techniques of the epiglottis-laryngoplasty in partial laryngectomy.Methods:Reconstruction of larynx by the epiglottis cartilage was performed in 32 patients after partial laryngectomy.Results:In order to preserve the total or partial laryngeal function of voice and deglutition,epiglottis was pulled downward after a total excision of the tumor to reconstruct the anterior or anterior-lateral wall of the residual laryngeal cavity.The three and five year survival rates were 87.5% and 76% respectively,vocal function was reserved in all patients.Conclusion:Epiglottis is one of the ideal material in laryngoplasty after the partial laryngectomy.