在激光切割 (STABLE) 后使用口腔粘膜移植单一阶段通过皮肤 suture 固定前 commissure 缺陷
Shawn T Joseph1, Sourabh Padmanabhan2, Karunya R Gopal1
1Centre of Excellence for Head and Neck Oncology, Aster Medcity, Kochi, Kerala, 682027, India.
概括
一种新的单阶段技术,使用口腔移植,在经过横腔激光微手术 (TLM) 后,重建前部委缺陷. 这种方法可以防止狭窄,并实现良好的声乐结果,提供一个具有成本效益的解决方案.
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
- 激光微手术是一种微手术.
- 重建性手术是一种重建性手术.
背景情况:
- 跨口激光微手术 (TLM) 对于早期的喉癌是有效的.
- 在TLM之后,前部指挥部的重建带来了挑战,包括有限的访问,狭窄和复发.
- 目前用于前部委重建的现有方法通常是复杂的或分阶段的.
研究的目的:
- 介绍一种新的单阶段重建技术,用于TLM后的前 commissure 缺陷.
- 评估使用用 sutures和组织粘剂固定口腔粘膜移植的疗效.
- 评估手术后的结果,包括语音质量和并发症率.
主要方法:
- 在TLM后,有5名前 commissure 缺陷的患者接受了重建.
- 使用了口腔粘膜移植,用聚烯和组织来固定.
- 使用语音障碍指数 (VHI) 评分,视频喉腔镜和狭窄/粘附的评估来评估结果.
主要成果:
- 所有患者在手术后都实现了无病状态.
- 语音障碍指数 (VHI) 评分表明可接受的术后语音质量.
- 该技术证明了稳定的移植位置,良好的声带近似度和最小的纤维化.
结论:
- 单阶段的重建技术有效地治愈了前腔管道缺陷,并预防了狭窄.
- 通过VHI测量的功能性结果是有利的.
- 这种方法为获得最佳声乐结果提供了传统分阶段程序的成本效益高,单阶段的替代方案.
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