Modified frontolateral partial laryngectomy operation: combined muscle-pedicle hyoid bone and thyrohyoid membrane flap in laryngeal reconstruction

(整期优先)网络出版时间:2013-02-12
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Objective:Laryngealreconstructionisneededtopreservelaryngealfunctioninpatientswhohaveundergoneextensiveverticalorfrontalpartiallaryngectomy.However,theprocedureremainsadifficultchallenge.Severalreconstructiontechniqueshavebeendescribed,butthesetechniquesposerisksofcomplicationssuchaslaryngealstenosis.Thisstudyaimedtoevaluatethepostoperativecourseandfunctionaloutcomesofanewtechniquethatcombinedamuscle-pediclehyoidboneandathyrohyoidflapduringlaryngealreconstructionaftertumorresection.Methods:Fourpatientsunderwentextensiveverticalpartialorfrontalpartiallaryngectomyforcancer.Aftertumorresection,laryngealreconstructionwasperformedusingtheproposedtechnique.Postoperativerecoverytime,complications,andoncologicresultswereevaluated.Results:Thefourpatientsweresuccessfullytreatedwiththeproposedtechnique.Nodyspnea,dysphagia,ordeathoccurredduringthepostoperativecourse.Decannulationwasperformedafteramedianof3days.Theaveragepostoperativehospitalstaywas7days.Short-termpostoperativefunctionalrecoverywasnormal.Nolaryngealstenosisortumorrecurrencewasobservedinanyofthefourpatientsafterafollow-upperiodofmorethan24months.Conclusion:Thecombinationofthemuscle-pediclehyoidboneandthethyrohyoidflapisareliableprocedureforlaryngealreconstructionafterextensiveverticalpartialorfrontalpartiallaryngectomy.