喉狭窄喉成形术经验(附77例报告)

本文介绍喉狭窄成形手术新经验：①不以扩张为主，而是按照创伤修复规律做喉成形手术，再造喉腔结构；②不同病因类型的喉狭窄采用不同类型成形术式来治疗；③尽量采用自体组织，坚持就近取材原则，创新术式。文章报告77例喉狭窄治疗效果，获成功拔管者74例（占96．1％）。

Surgical treatment of laryngostenosis:Report of 77 cases

The treatment experience on 77 patients with laryngostenosis was presented. There were 58 males and 19 females, ranging in age from 17 to 60 years. The reasons for laryngostenosis included laryngeal burns, scar formation of granulomatosis, cut throat,laryngeal chondromalacia, laryngeal trauma, postoperation of laryngeal carcinoma, and vocal cord paralysis. The location of laryngostenosis was as follows: supraglottis (13 cases ), glottis (32 cases) and subglottis (32 cases). We did not depend only upon dilation, we performed laryngoplasty to restore laryngeal structure. New technique was created. Our results showed that 74 patients (74/77, 96. 1 % ) were successfully decannulated.