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目的为了更好的解决垂直半喉切除术存在喉部分缺损的修复及术后发音、呼吸问题。作者用自行设计的颈部水平肌皮瓣修复喉大部切除的缺损，以保证在根治肿瘤的前提下恢复喉的功能。方法行预部大“U”形切口，底部平环状软骨，向上剥离至舌骨水平，使皮肤、皮下组织、预阔肌形成单蒂肌皮瓣，根据喉缺损的深浅、长度及大小，制备水平肌皮瓣。然后将肌皮瓣向内翻转90°，充分覆盖缺损，对位缝合，使之形成新喉的一部分。结果用此术式治疗10例，喉功能全部恢复，拔管后均无吞咽障碍。术后1～3年预部复发1例，局部复发1例，其余8例病人无局部复发及远处转移。结论该术式在修复创面保存喉功能、减少并发症方面有临床应用价值，建议推广使用。
Objective To better solve the problem of vertical partial laryngectomy with partial laryngeal defect repair and postoperative phonation and respiratory problems. The authors use a self-designed horizontal muscle flap of the neck to repair the excision of the larynx to ensure that the larynx regains the function of the tumor. Methods A large U-shaped incision was made at the front of the larynx. The flat cricoid at the bottom was dissected up to the level of the hyoid bone. The skin, subcutaneous tissue and the psoas muscle were made into single pedicled myocutaneous flaps. According to the depth, length and size of laryngeal defects, Myocutaneous flap. The musculocutaneous flap was then turned 90 ° inward to adequately cover the defect, sutured to position it as part of a new larynx. Results With the surgical treatment of 10 cases, all the recovery of laryngeal function, no dysphagia after extubation. One to three cases of preoperative recurrence in 1 case, local recurrence in 1 case, and the remaining 8 cases no local recurrence and distant metastasis. Conclusion This technique has clinical value in repairing the function of preserving laryngeal wounds and reducing the complications, and is recommended to be used widely.