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作者回顾了1965～68年间40例垂直半喉切除术后立即用游离肌肉或会厌组织移植重建声门情况。观察期2～18年,其中33人健在,7人(18%)术后发生了并发症,4人因之死亡,其中2例与喉部分切除手术有关,但与术后声门重建是否有关尚难判定。3例轻型并发症为:1例有气息声,持续到术后6个月,经用特氟隆注射后好转。1例术后4个月于会厌根部发生良性囊肿,经在直接喉镜下咬除而愈。另1例发生了三次相当严重的吸入性肺炎而持续不愈,不得不二次做了全喉切除。4例致命性并发症为:一例术后三个月内一直患吸入性肺炎,准备喉全切前死于肺炎及心血管疾病。一例术后一年因充血性心衰死亡。作者认为此例术前即患肺炎,本不应手术。
The authors reviewed the reconstruction of the glottis with free muscle or epiglottis immediately after the treatment of 40 cases of vertical semilunar resection from 1965 to 68. During the observation period of 2 to 18 years, 33 were alive and 7 (18%) had postoperative complications and 4 died. Two of them were related to partial laryngectomy but not to post-operative glottis reconstruction Still hard to judge. Three cases of light complications were: 1 patient breath, continued to 6 months after surgery, after the use of teflon injection improved. One case had benign cysts in the root of epiglottis four months after operation, and was bled except under the direct laryngoscope. The other one had three serious cases of aspiration pneumonia and continued unhealed and had to undergo a total laryngectomy twice. Four cases of fatal complications: one case has been suffering from aspiration pneumonia within three months after surgery, ready to die before pneumonitis and cardiovascular disease. One case died of congestive heart failure one year after surgery. The authors believe that this case of pneumonia preoperative, this should not be surgery.