扩展部分喉切除术与功能性保存使用旋转的Crico-thyrotracheopexyy
László Rovó1, László Szakács1, Paul F Castellanos2
1Department of Otorhinolaryngology-Head and Neck Surgery, Albert Szent-Györgyi Faculty of Medicine University of Szeged Szeged Hungary.
Laryngoscope investigative otolaryngology
|October 30, 2023
概括
这项研究引入了晚期喉瘤的旋转性克里科-thyrotracheopexy,使扩展垂直直直喉膜切除术后的功能重建. 该技术提供了稳定的呼吸道,可接受的声音和安全的吞,保持瘤安全.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 涉及 commissures 和 subglottic 区域的先进的喉瘤带来了瘤和功能方面的挑战.
- 传统的保护性手术在切除程度和功能结果方面存在局限性.
- 延伸垂直直喉膜切除术在瘤学上是最佳的,但由于重建的局限性,通常需要全喉膜切除术.
研究的目的:
- 评估单阶段延伸垂直部分喉腔切除术与旋转性形-thyrotracheopexy对于晚期喉瘤的疗效.
- 评估瘤安全性和功能结果,包括呼吸道,语音和吞.
主要方法:
- 八名患有声恶性瘤和下扩张的患者接受了扩展的垂直部分喉切除术,并进行了旋转式形-thyrotracheopexy.
- 用客观和主观测试来评估功能结果.
主要成果:
- 所有患者在组织学上都实现了无瘤边缘.
- 在所有患者中,在两周内观察到成功的脱.
- 患者保持了稳定的呼吸道,报告了社会所接受的声音,并在七个案例中启用了口服养.
结论:
- 旋转式克里科-thyrotracheopexy是一个有效的单阶段重建大喉缺陷后延长的垂直喉切除术.
- 这种技术适用于高级单侧喉瘤,具有上/下喉入侵.
- 它可以实现充足的呼吸道,可接受的声音和安全的吞,而不会影响瘤的结果.
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