喉癌术后喉狭窄的外科治疗

崔鹏程; 赵大庆; 郭志华; 梁乐平

doi:10.13201/j.issn.1001-1781.2018.12.008

喉癌术后喉狭窄的外科治疗

- 空军军医大学唐都医院耳鼻咽喉头颈外科(西安, 710038)

详细信息

通讯作者: 崔鹏程,E-mail:cuipc@fmmu.edu.cn

中图分类号: R739.65

收稿日期: 2018-04-11

Management of laryngeal stenosis after laryngeal cancer surgery

- Department of Otolaryngology Head and Neck Surgery, Tangdu Hosptial, Air Force Medical University, Xi'an, 710038, China

More Information

Corresponding author: CUI Pengcheng, E-mail: cuipc@fmmu.edu.cn

Received Date: 11 April 2018

摘要

摘要: 目的：探讨喉癌术后喉狭窄的外科治疗方法和效果。方法：喉癌术后喉狭窄患者19例，支撑喉镜下激光切除瘢痕2例；气道前壁加宽17例，其中甲状软骨板加宽1例，带蒂舌骨1例，肌皮瓣15例。结果：拔管16例，拔管率84%。T型硅胶管放置时间为3~18个月，平均10个月。随访11个月~8年。结论：垂直部分喉切除术后容易导致喉狭窄。喉裂开肌皮瓣前壁加宽是主要治疗方法，单纯支撑喉镜激光切除瘢痕对较轻的狭窄有效。
- 喉肿瘤 /
- 喉狭窄 /
- 外科手术
Abstract: Objective: To evaluate the surgical methods and outcomes of laryngeal stenosis after laryngeal cancer surgery. Method: Nineteen patients with laryngeal stenosis caused by partial laryngectomy were retrospectively analyzed.Two cases were treated by endoscopic laser resection. Seventeen were treated by open surgery. Among them 15 used the sternohyoid myocutaneous flap and 1 thyroid alar cartilage and 1 hyoid bone as grafts. Result: Sixteen patients were decannulated and the overall decannulation rate was 84%. A silicone T tube was remained in place from 3 to 18 months, mean 10 months. Follow-up was obtained from 11 months to 8 years. Conclusion: Vertical partial laryngectomy easily lead to laryngeal stenosis. The sternohyoid myocutaneous flap is the major approach for laryngeal stenosis. Endoscopic laser resection is effective for mild stenosis.
- laryngeal neoplasms /
- laryngostenosis /
- surgical procedures,operative

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参考文献(9)

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