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垂直半喉切除声门重建术的方法,在文献上有很多报导。作者自1978年对声门区癌行半喉切除后,以颈部有蒂皮瓣重建声门,喉功能恢复及效果均较好,但在观察中见植入皮瓣发白粗皱,不润泽。1979年作者仿照Hirano氏改进Ogura用胸舌骨肌瓣重建声门的方法,对12例声门区癌患者行垂直半喉切除术(扩大的额、侧喉部分切除术),以单蒂胸舌骨肌瓣重建声门,发音、呼吸功能均良好,报告如下: 临床资料本组12例声门区癌中(院外3例),男性9例,女性3例。年龄40-61岁,T_25例,T_37例,术后拔去气管套管者11例,拔管时间为10-45天,一例因“新声带”肿胀带管出院,继续观察。所有病例切除的标
There are many reports in the literature on the method of vertical hemi-laryngectomy for glottic reconstruction. The authors performed a hemi-laryngectomy on the glottic cancer in 1978. The reconstruction of the glottis was performed with a pedicled flap on the neck. The function and effect of the laryngeal function were better. However, in the observation, the implanted flap was white and rough. moist. In 1979, the author used Hirano’s modified Ogura method to reconstruct the glottis with thoracic skeletal muscle flaps and performed vertical hemi laryngectomy (enlarged frontal and lateral partial laryngectomy) on 12 patients with glottic cancer. Hyoid muscle flap reconstruction of the glottis, pronunciation, respiratory function are good, the report is as follows: Clinical data in this group of 12 cases of glottic cancer (outside the hospital in 3 cases), 9 males and 3 females. Ages 40-61 years old, T_25 cases, T_37 cases, 11 cases with tracheal tube removed after surgery, extubation time was 10-45 days. One case was discharged from the hospital with a “new vocal cord” swollen and continued to be observed. The standard for removal of all cases