【摘要】 <正> 喉再造术是指患喉癌行全喉截除的患者,在根除病变的基础上,对喉和喉咽部的呼吸、发音和吞咽功能进行重建。本所于1981年3月根据针麻下全喉截除和气管代喉的经验,改进了喉再造术,已有三例获成功。针麻方法和效果评定已有报道。更多还原

【Abstract】 In dealing with total laryngectomy on patients sufferred from laryngeal carcinoma, the laryngologists have long been confronted with a problem of the possibility and method in reconstructing a larynx in order to restore and facilitate the functions of phonation, respiration and deglutition to the best possible degree. It was with this intention that the author designed an improved surgical technique for such reconstruction. The main points in the procedures were briefly as follows: (1) leaving the hyoid muscles and hyoid bone unresected, (2) dissecting and preserving the outer one third of the lateral lamina of the thyroid cartilage and thus forming a frame for holding and lifting the reconstructed larynx upward, (3) to free and reserve the superior laryngeal nerve and its vessels so as to keep the afferent nerve innervation of the laryngophary-ngeal mucosa intact, (4) to restore the function of deglutition and lessen the chance of misaspiration by constructing two piriform fossae through the setting up of two Ushaped structures on both sides of the laryngopharyngeal mucosa at level of the upper part of the traoheostoma, and (5) to re-establish the sphincters of the larynx and to free the bilateral laryngeal recurrent nerves for transplanting to the reconstructed glottis superior to the traoheostoma, so as to restore the sphincter reflex for phonatic function.Acupuncture supplemented with some medications was the method of anesthesia of choice. Operations have been performed on three cases with the above improved surgical technique sine March 1981, with promising results.更多还原