PRIMARY RECONSTRUCTION OF AIRWAY AFTER RESECTION OF SUBGLOTTIC LARYNGEAL AND UPPER TRACHEAL STENOSIS
PRIMARY RECONSTRUCTION OF AIRWAY AFTER RESECTION OF SUBGLOTTIC LARYNGEAL AND UPPER TRACHEAL STENOSIS
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DOI：
10.1016/s0003-4975(10)63191-8
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发表时间：
1982-01-01
影响因子：
4.6
通讯作者：
GRILLO, HC
中科院分区：
文献类型：
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作者：
GRILLO, HC
18例声门下喉下狭窄及气管上段狭窄患者行前外侧环状软骨及气管上段切除术，经喉气管吻合术重建。环状环后板和喉返神经得以保留。远端气管斜切成前侧，前方与甲状软骨吻合，后方与残余环状软骨吻合。当狭窄呈环状时，从环状后板前表面切除瘢痕粘膜，用气管壁膜瓣覆盖缺损。14例患者的病变继发于插管损伤。2例狭窄为特发性。一例狭窄是由吸入性烧伤引起的，一例是由局限性淀粉样变引起的。许多患者之前都做过手术修复。16例患者在6个月至5年半后获得良好至极好的结果。烧伤气道重建失败。另外一名患者仍在接受T管治疗。
Patients (18) with low subglottic laryngeal stenosis and upper tracheal stenosis underwent resection of the anterior and lateral cricoid cartilage and upper trachea with reconstruction by primary laryngotracheal anastomosis. The posterior cricoid plate and recurrent laryngeal nerves were preserved. The distal trachea was tailored obliquely with an anterior prow and was anastomosed to the thyroid cartilage anteriorly and to the residual cricoid posteriorly. Where the stenosis was circumferential, scarred mucosa was resected from the anterior surface of the posterior cricoid lamina and the defect covered with a tailored flap of membranous tracheal wall. In 14 patients the lesions followed intubation injury. In 2 the stenosis was idiopathic. One stenosis resulted from inhalation burn and 1 from localized amyloidosis. Many patients had undergone previous surgical repairs. Sixteen patients had good to excellent results from 6 mo. to 5 1/2 yr later. Reconstruction of the burned airway failed. One additional patient is still under treatment with a T tube.