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在全喉切除术后的喉重建:技术方面与后续审查
Aleš Grošelj1,2, Ivana Tancer3, Anže Jerman4
1Department of Otorhinolaryngology and Cervicofacial Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia.
Frontiers in oncology
|January 23, 2024
概括
滑动表造形术是在全喉切除术后的一种安全的喉重建技术. 虽然它提供了稍微更好的生存率,但它显示了与初级关闭相似的并发症率,使其适合精选患者.
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:
- 整体喉切除术需要喉缺陷重建.
- 滑动表造形术是这样一种技术,报告数据有限.
- 这项研究详细介绍了该技术,并分析了患者的结果.
研究的目的:
- 介绍全喉切除术后喉重建的滑动表造形技术.
- 为了追溯分析患者的结果,将滑动表造形与初级关闭进行比较.
主要方法:
- 单一中心医疗记录的回顾性审查 (2007-2013年,后续到2020年).
- 患者接受了全喉切除术,随后进行了初级关闭 (n=120) 或滑动表造形 (n=38).
- 基线特征,并发症率和生存率的比较.
主要成果:
- 基线特征,TNM阶段或之前的治疗没有显著差异.
- 两组之间可比的术后并发症率 (喉皮质,狭窄) 在各组之间.
- 在滑动表皮造形手术组中,喉皮质的发生率略高.
- 整体3年存活率:73.7%的表造形术对比57.5%的初级关闭.
结论:
- 滑动表皮切除术是全喉切除术后的一种安全的重建方法.
- 该技术显示了比初级关闭略有更好的生存结果.
- 对于精心挑选的患者,如果初级关闭是不可行的或其他片是禁忌的,请考虑滑动表造形术.
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