会厌和胸骨舌骨肌在T3级声门癌喉功能保全手术中的应用

目的探讨会厌和胸骨舌骨肌肌筋膜瓣联合应用在保全喉功能的T3级声门癌手术中的应用价值。方法对36例T3级声门癌患者行喉扩大垂直部分切除术,喉部缺损采用会厌瓣和胸骨舌骨肌肌筋膜瓣联合重建。结果所有患者均恢复发音和呼吸功能,拔管率94.4%,3年生存率和5年生存率分别为84.0%和69.2%。结论在保全喉功能T3级声门癌手术中,联合应用会厌瓣和胸骨舌骨肌肌筋膜瓣重建喉腔有助于喉功能恢复。

The application of epiglottis with sternohyoid muscle in the conservation surgery for T3 glottic carcinoma

OBJECTIVE To investigate the applica-bility of combination of the epiglottis with sternohyoid myofascial flap in the reconstruction after conservationsurgery for T3 glottic carcinoma. METHODS Thirty-sixcases of glottic carcinoma of T3 category were treatedby extended vertical partial laryngectomy. The laryn-geal defects were repaired by the combination of epig-lottis flap with sternohyoid myofascial flap. RESULTSAll of the patients resumed the phonation and swal-lowing capability. The decannulation rate was 94.4 %.The 3- and 5-year survival rate was 84.0 %, and 69.2%respectively. CONCLUSION The application of the com-bined technique of the epiglottis with sternohyoidmyofascial flap to reconstruct the laryngeal cavity forT3 glottic carcinoma was a practical method to restorethe laryngeal function.