Deglutition following Supraglottic Horizontal Laryngectomy
Deglutition following Supraglottic Horizontal Laryngectomy
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声门上水平喉切除术后的吞咽
DOI：
10.1177/000348948709600102
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发表时间：
1987
期刊：
影响因子：
--
通讯作者：
H. Matsuoka
中科院分区：
文献类型：
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作者：
M. Hirano;M. Tateishi;S. Kurita;H. Matsuoka
为了确定可能导致声门上水平喉切除术或其改良技术后吞咽问题的因素，我们研究了38例患者的临床记录。研究了以下因素的贡献：年龄；性;肿瘤分类;根治性颈部清扫术；在去除aryepiglottic褶皱、aryearoid软骨和假褶皱时的程度和对称性；切除舌底、舌骨和部分声带；会厌及甲状软骨切除程度；环咽的肌切开术;以及一些并发症和伴随疾病。结果表明，去除杓状软骨和不对称去除假褶皱有助于吞咽问题。我们的结论是，标准的声门上水平喉切除术与手术接近喉部舌底和环咽肌切开术通常不会引起严重的吞咽问题。当杓状软骨被移除时，需要重建结构以防止严重的误吸。
In order to determine factors that may contribute to deglutition problems following supraglottic horizontal laryngectomy or its modified techniques, clinical records of 38 patients were studied. Contribution of the following factors was investigated: Age; sex; tumor classification; radical neck dissection; extent of and symmetry in removal of the aryepiglottic folds, arytenoid cartilages, and false folds; removal of the base of the tongue, hyoid bone, and a part of the vocal folds; extent of removal of the epiglottis and thyroid cartilage; cricopharyngeal myotomy; and some complications and concomitant diseases. The results suggest that removal of the arytenoid cartilage and asymmetrical removal of the false folds contribute to deglutition problems. We conclude that the standard supraglottic horizontal laryngectomy associated with surgical approximation of the larynx to the base of the tongue and cricopharyngeal myotomy does not usually cause serious deglutition problems. When the arytenoid cartilage is removed, reconstruction of the structure is required for the prevention of severe aspiration.