[The one-stage technology of epiglottis function and voice reconstruction after total laryngectomy with the sternohyoid myocutaneous flap].

Autor:	Zhao X; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., Ma Z; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., Li B; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., Feng Y; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., Yu X; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., Fan J; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., He G; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China., Li B; Department of Otolaryngology Head and Neck Surgery，Sichuan Provincial People's Hospital，School of Medicine，University of Electronic Science and Technology，Chengdu，610000，China.
Jazyk:	čínština
Zdroj:	Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery [Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi] 2022 Oct; Vol. 36 (10), pp. 753-757.
DOI:	10.13201/j.issn.2096-7993.2022.10.005
Abstrakt:	Objective: To investigate the clinical effect of one-stage sternohyoid musculocutaneous flap after total laryngectomy for reconstruction of epiglottis function and vocalization. Methods: A retrospective analysis of 8 patients who underwent total laryngectomy from November 2019 to September 2020. The sternohyoid myocutaneous flap was designed after total laryngectomy. The lower edge of the flap was sewed with the posterior upper edge of the tracheostomy opening, and the lateral and medial edges of the flap were anastomosed to create a vocal tube. The lateral edge of the upper end of tube was sutured with the anterolateral wall of the hypopharynx, then made full use of residual epiglottis and tongue root tissue to reconstruct epiglottis function. Results: None of the 8 patients had serious complications after total laryngectomies. Fifteen months after operation,the vocal tube flaps survived and had intact structure under fiberoptic laryngoscope. All patients could speak clearly and forcefully, and the swallowing function was intact. Conclusion: The use of adjacent myocutaneous flap to construct the vocal canal and reconstruct the epiglottis function is a simple and effective technique that can be completed in one stage and improve the voicing of patients undergoing total laryngectomy. Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose. (Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.)
Databáze:	MEDLINE
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