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[A clinical study on improving phonation function of larynx after partial laryngectomy]
Ping Fang1, Jin Ye, Kunling Zhang
1Department of Otolaryngology-Head and Neck Surgery, Affiliated Hospital of Anhui Medical University, Hefei 230022.
Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|June 21, 2003
Summary
This study demonstrates a novel vocal cord reconstruction technique using a sternohyoid muscle flap after partial laryngectomy. The method effectively restores laryngeal appearance and phonation, significantly improving patient quality of life.
Area of Science:
- Otolaryngology
- Surgical Reconstruction
- Voice Restoration
Context:
- Partial laryngectomy often results in significant vocal cord defects.
- Restoring laryngeal function and voice quality is crucial for patient well-being.
- Existing reconstruction methods may have limitations in effectiveness and patient outcomes.
Purpose:
- To evaluate the clinical outcomes of vocal cord reconstruction using a sternohyoid muscle flap.
- To introduce and assess a new surgical technique for partial laryngectomy defects.
- To improve laryngeal function and the quality of life for patients undergoing partial laryngectomy.
Summary:
- A novel surgical technique utilizing a thyroid cartilage membrane and sternohyoid muscle flap was developed for vocal cord reconstruction after partial laryngectomy.
- The sternohyoid muscle flap was adapted to repair defects and reconstruct a new vocal cord, facilitating vocal cord contact during phonation.
- The procedure successfully restored normal laryngeal appearance and phonation function in sixty-one patients.
Impact:
- Achieved satisfactory phonation in 93.4% of patients, enabling a socially acceptable voice.
- The sternohyoid muscle flap offers abundant material, convenient procedures, minimal trauma, and satisfactory functional results.
- This technique presents a valuable option for vocal cord reconstruction, enhancing patient recovery and quality of life.