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喉全切除术是目前治疗喉癌、原发的声门下癌、放疗后复发者和下咽癌不能保留喉功能者的一种主要的外科方法。喉全切除术虽然提高了喉癌患者的生存率,但同时也给机体带来了负面影响,随着术后时间的推移,患者鼻腔形态和功能均会发生不同程度的改变。现综述喉全切术后鼻腔结构形态和功能改变的研究,以及这些改变可引起的表现,分析术后鼻腔改变引起这些表现的原因、机制以及如何采取有效措施保护鼻腔功能及延缓其发生退行性改变。
Total laryngectomy is currently a major surgical treatment of laryngeal cancer, primary subglottic cancer, relapse after radiotherapy, and hypopharyngeal cancer who can not retain laryngeal function. Although total laryngectomy improves the survival rate of patients with laryngeal cancer, it also has a negative impact on the body. With the passage of time, the shape and function of the nasal cavity patients will change in varying degrees. Now summarize the changes of nasal cavity structure and function after laryngectomy, as well as the changes that can be caused by the performance of these changes after nasal changes caused by the analysis of the causes, mechanisms and how to take effective measures to protect nasal function and delaying its occurrence change.