肌蒂甲状软骨膜在喉咽手术中的应用

目的：评价肌蒂甲状软骨膜在喉咽修补手术中的应用价值。方法：利用肌蒂甲状软骨外膜对２例喉癌切除术患者以不同的形式修补术创。结果：术后随访１～５年，均达到了修复愈合的目的。结论：本法的优点是取材易、血供好、有机动性、利于上皮化和填补缺损；缺点是面积有限、有轻度收缩及纤维化。

Use of thyroid perichondrium with muscular pedicle in laryngopharyngeal surgery

Objective: To validate thyroid perichondrium with muscular pedicle in laryngopharyngeal repair.Methods: The thyroid perichondrium with muscular pedicle was used. in 2 cases undergoing resection of laryngopharyngeal cancer during different patterns of repair operation. Results: A 1 5 year follow up study showed that both cases achieved the goal of reparative healing. Conclusion: The advantages of this technique are easy to draw materials, good enough in blood supply, mobile for use, and benefitial to epithelializing and filling up the tissue defect. The disadvantages are the limited area and sometimes mild contraction or fibrosis. [