喉裂的手术治疗现状及进展

Present situation and progress of surgical treatment for laryngeal clefts

喉裂的治疗目前尚无统一的金标准,症状较轻的Ⅰ型喉裂可尝试保守治疗,例如厚食喂养、使用质子泵抑制剂控制反流等方式使其症状缓解,而Ⅱ~Ⅳ型的喉裂大多需要手术干预,目前治疗喉裂有多种不同的手术方式,主要包括注射喉成形术、内镜下喉裂修补术以及颈前径路开放式喉裂修补术。如何去选择更适合患儿的手术方案值得探讨,本文回顾在国内外已发表有关喉裂手术治疗的文献,对于喉裂的手术治疗现状以及所面临的挑战进行总结。

At present,there is no unified gold standard for the treatment of laryngeal clefts.TypeⅠlaryngeal clefts with mild symptoms can be treated conservatively,such as thick diet feeding and using proton pump inhibitor to control reflux,whileⅡ-Ⅳlaryngeal clefts mostly requires surgical intervention.There are many different surgical methods for the treatment of laryngeal clefts,including injection laryngoplasty,endoscopic surgical repair of laryngeal clefts and open laryngoplasty through anterior cervical approach.How to choose a more suitable surgical plan for children is a problem worth discussing.This article will review the literature on the surgical treatment of laryngeal clefts both domestically and internationally,and summarize the current situation and challenges of surgical treatment of laryngeal clefts.