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| 转门肌皮瓣修复T3、T4声门癌扩大部分喉切除术后缺损 | |
| 引用本文： | 赵舒薇,孙兴和,陆书昌,叶青,林顺涨,郭志祥,唐远玲,李家喜. 转门肌皮瓣修复T3、T4声门癌扩大部分喉切除术后缺损[J]. 临床耳鼻咽喉头颈外科杂志, 1998, 12(12): 534-536 |
| 作者姓名： | 赵舒薇 孙兴和 陆书昌 叶青 林顺涨 郭志祥 唐远玲 李家喜 |
| 作者单位： | 1. 上海,第二军医大学长医院耳鼻咽喉科,200003 2. 空军沈阳医院耳鼻咽喉科 3. 空军总医院耳鼻咽喉科 |
| 摘 要： | 过大的喉腔缺损创面修复困难。为保证在根治肿瘤的前提下，恢复喉的发声，呼吸，吞咽防护功能，对６２例晚期（Ｔ３，Ｔ４）声门癌分别行扩大垂直喉切除和次全喉切除术，同期应用双蒂转门肌皮瓣进行喉腔缺损重建。气管套管拔出率为８７．１％，８５％患者发声恢复满意，吞咽功能全部恢复。晚期声门癌选择性地施行功能保全性喉切除术是可行的。手术操作简单，应用广泛，值得推广。 |
| 关 键 词： | 喉肿瘤 喉切除 外科皮瓣 转门肌皮瓣 |
The use of bi-pedical rotatory door muscle-skin flap reconstruction in extended partial laryngectomy for late (T3 and T4) glottic cancer |
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| Zhao Shuwei Sun Xinghe Lu Shuchang et al. The use of bi-pedical rotatory door muscle-skin flap reconstruction in extended partial laryngectomy for late (T3 and T4) glottic cancer[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 1998, 12(12): 534-536 | |
| Authors: | Zhao Shuwei Sun Xinghe Lu Shuchang et al |
| Affiliation: | Changzheng Hospital, Second Military Medical University, Shanghai 200003. |
| Abstract: | The purpose is to radical treatment for late glottic cancer by surgery,to restore the essential function of the larynx,62 patients of late (T 3 and T 4) glottic cancer were treated by extended vertical partial and subtotal laryngectomy.At the same time,an appropriate method of reconstruction of laryngeal function by bi pedical rotatory door muscle skin flap was presented.The decannulation rate was 87.1% and 85.0% cases enjored satisfactory voice.All cases resumed normal mouth food taking.The conclusion is that selective treated with extended partial laryngectomy is effective for T 3 and T 4 glottic cancer. |
| Keywords: | Laryngeal neoplasms Laryngectomy Surgical flaps |
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