Pronunciation reconstruction technique in laryngeal surgery.doc

Pronunciation reconstruction technique in laryngeal surgery Author: Ma mechanics, Zhao Bo, Lu Jinfeng, Sorokina, Lou Lina [Abstract] Objective: To introduce total laryngectomy and partial laryngectomy reconstruction of pronunciation features several ways. Methods: The total laryngectomy tracheo-esophageal fistula surgery after the establishment of sound features, the vertical half-pipe or vertical application of super-half-laryngectomy transfer of pedicled sternohyoid sternohyoid muscle flap, or the formation of pronounced folds and laryngeal framework reconstruction pronunciation function, application of near-total laryngectomy laryngeal mucosa of the residual production of sound management structure to establish phonation. Results: 6 cases of tracheo-esophageal fistula surgery, after the success of pronunciation in 5 cases; the sternohyoid muscle pedicle transfer of production and use of artificial vocal laryngeal thyroid cartilage membrane wound repair in 7 cases, 6 cases were satisfied pronunciation; 8 Regular sternohyoid muscle pedicle bone flap reconstruction of the tongue frame structure of the vocal cords and larynx patients had no difficulty breathing after pronunciation; laryngeal voice tube renewal (pearson-type surgery) in 7 cases, postoperative phonation the general, but patients are satisfied with self-evaluation. Conclusion: The total laryngectomy or partial laryngectomy should be over the same period after the completion of laryngeal voice restoration surgery, to improve the postoperative quality of life. In the partial laryngectomy, using with hyoid sternohyoid muscle flap for repair and reconstruction of laryngeal cartilage framework of the structure and the vocal folds can effectively prevent postoperative laryngeal stenosis and improve the quality of pronunciation. [Keywords:] Pronunciation reconstruction; laryngeal cancer; laryngeal resection Application of the pronunciation reconstruction technique in the operation of larynx cancer Abs