会厌在喉部分切除喉功能重建术中的应用

目的 探讨会厌在喉部分切除喉功能重建术中的应用价值。方法 １９９２年１２月－１９９６年１月３２例不同分期的声门型，声门上型喉癌行喉部分切除术，将残存会厌下移保留喉功能。结果 ２１例声门型喉癌术后１９例拔除气管套管恢复喉的全部功能，１１例声门上型喉癌５例恢复喉全部功能，并于术后１４－１８ｄ恢复吞咽功能，无１例出现误吸收起严重并发症。３年生存率８７．５％（２８／３２），５年生存率５８．３％（７／１２）

The application of epiglottis in laryngeal function reconstruction after partial laryngectomy]

OBJECTIVE: To observe the appliance value of epiglottis in laryngeal function reconstruction after partial laryngectomy. METHODS: Thirty-two cases of glottic and superglottic carcinomas of larynx had conducted partial laryngectomy and the laryngeal function was reconstructed using epiglottis from December. 1992 to January 1996. RESULTS: Nineteen of the twenty-one glottic carcinomas and five of eleven supraglottic carcinomas were decannulated and recovered with laryngeal functions. All the patients rehabilitated deglutition in 14-18 days after surgery. None presented complication of aspiration. CONCLUSIONS: Epiglottis has many advantages in partial laryngectomy and the laryngeal reconstruction. It is easy to approach, apply and heal in short period. It also prevents aspiration and improves the decannulation rate as well as the quality of life in partial laryngectomy patients.