A. Composite hyoid bone graft interposition for the treatment of laryngotracheal stenosis
A. Composite hyoid bone graft interposition for the treatment of laryngotracheal stenosis
复制标题
A. 复合舌骨植骨介入治疗喉气管狭窄
DOI：
10.1159/000363576
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Shiotani A.
中科院分区：
文献类型：
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作者：
Mizokami D;Araki K;Tomifuji M;Mori Y;Shiotani A.
简介慢性喉气管狭窄（LTS）对于耳鼻喉科医生来说仍然是一个具有挑战性的问题。复合舌骨介入移植物有可能成为理想的移植物，因为头颈外科医生可以在同一手术区域获得移植物，且肌蒂有良好的血管供应。方法采用复合舌骨介入移植物为2例LTS重建的喉或气管管腔提供结构支撑。结果2例患者成功拔管，喉部状况良好。 结论这项技术可以使血管化的移植物稳定存活，同时将供体部位的发病率降至最低。此外，还可针对甲状腺、环状软骨、气管狭窄进行手术，无需担心损伤喉返神经。
IntroductionChronic laryngotracheal stenosis (LTS) remains a challenging problem for otolaryngologists. A composite hyoid bone interposition graft has the potential to be an ideal graft because the head and neck surgeon can obtain the graft in the same operative field with good vascular supply from the muscle pedicle.MethodsA composite hyoid interposition graft was used to provide structural support for the reconstructed lumen of the larynx or trachea in 2 cases of LTS.ResultsTwo patients underwent successful decannulation with acceptable laryngeal function over a long-term observation period.ConclusionThis technique allows vascularized stable graft survival with minimal donor site morbidity. Furthermore, it can be performed for thyroid, cricoid, and tracheal stenosis without fear of damage to the recurrent laryngeal nerves.