论文部分内容阅读
目的:评价带蒂胸骨舌骨肌瓣及舌骨修复喉气管狭窄的疗效。方法:用单蒂或双蒂胸骨舌骨肌瓣及舌骨重建喉气管软骨支架缺损、缺失及软组织塌陷。结果:21例喉气管狭窄及缺损患者,16例1次手术治愈,3例2次手术治愈,全部拔管出院,1例失败,1例失访。结论:对于喉气管软骨支架缺损、缺失及塌陷等所致狭窄,采用带蒂舌骨肌瓣及舌骨重建取材方便、损伤小、支撑作用好、成活率高。
Objective: To evaluate the efficacy of pedicled sternohyoid muscle flap and hyoid bone in the repair of laryngeal tracheal stenosis. Methods: Reconstruction of laryngotracheal cartilage scaffold defect, defect and soft tissue collapse with single pedicle or double pedicled sternohyoid muscle flap and hyoid bone. Results: Twenty-one cases of laryngotracheal stenosis and defect were cured by one operation in 16 cases and two cases in three cases. All of them were extubated. One case failed and one case lost follow-up. CONCLUSION: For the stenosis caused by defects, defects and collapse of laryngotracheal cartilage scaffolds, it is convenient to use the hyoid muscle flap and hyoid bone to reconstruct the material, which has less damage and good supporting effect and high survival rate.