Abstract | OBJECTIVE: To present a new method of decannulation for laryngostenosis patients after partial laryngectomy and extended partial laryngectomy, and restoration of the essential functions of larynx and normal neck appearance. METHODS: Nineteen cases of laryngostenosis after partial laryngectomy and extended partial laryngectomy were treated with second stage reconstruction. The patients had been treated by vertical laryngectomy (6/19) using extended vertical laryngectomy (11/19) and frontolateral laryngectomy (2/19). Among these patients, second stage reconstruction of larynx was performed by using rotary door myocutaneous flap (17/19). Stemohyoideus flap (1/19) and sternocleidomastoid flap (1/19). RESULTS: Three and five year-survival rates were 91.7% (11/12) and 3/5, respectively. Over-all decannulation rate was 84.2% (16/19), but 94.1% (16/17) in patients with rotary door myocutaneous flap and 0% (0/2) in both patients with sternohyoideus flap and sternocleidomastoid flap. There were 3 decannulation failures (15.8%). All patients resumed acceptable voice, 94.7% (18/19) enjoyed satisfactory phonation, but 5.3% (1/19) showed severe hoarseness. All except 2 patients returned normal swallow function. The latter 2 patients experienced mild abnormal swallow during eating fluid food in early stage of surgery, but had normal swallow function after 1-2 weeks. CONCLUSION:
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Authors | S Zhao, Q Ye, Y Xie, J Wu, H Wang, J Lang, B Sun, S Tian, A Sun |
Journal | Zhonghua er bi yan hou ke za zhi
(Zhonghua Er Bi Yan Hou Ke Za Zhi)
Vol. 36
Issue 6
Pg. 447-50
(Dec 2001)
ISSN: 0412-3948 [Print] China |
PMID | 12761962
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Female
- Humans
- Laryngeal Neoplasms
(surgery)
- Laryngectomy
(adverse effects)
- Laryngostenosis
(etiology, surgery)
- Larynx
(surgery)
- Male
- Middle Aged
- Plastic Surgery Procedures
(methods)
- Surgical Flaps
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