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   hypopharyngeal stenosis 在 肿瘤学 分类中 的翻译结果: 查询用时:0.542秒
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hypopharyngeal stenosis
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    Among 10 cases having laryngeal functions partially restored(voice and deglutition), the postoperative complications included 5 cases of pharyngeal fistula,3 hypopharyngeal stenosis and 1 severe aspiration.
    喉功能保留病例仅恢复了发音和吞咽保护功能。 术后出现咽瘘5例,下咽狭窄3例,严重误吸1例。
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  hypopharyngeal stenosis
This technique will help in the treatment and prevention of hypopharyngeal stenosis following TLM in selected patients with wide or circumferential hypopharyngeal tumors.
      
We suggest a new way to prevent hypopharyngeal stenosis by using silastic sheeting with a feeding tube.
      
However, though rare, severe dysphagia can be caused by hypopharyngeal stenosis following TLM despite preventive efforts.
      
Hypopharyngeal stenosis following transoral laser microresection (TLM) of hypopharyngeal carcinomas is a rare but devastating complication.
      
Prevention of Hypopharyngeal Stenosis with Silastic Sheeting Following Transoral Resection
      
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Objective To explore the surgical techniques in surgical treatment of postcricoid carcinoma. Methods Twenty-one cases with postcricoid carcinoma were treated surgically.The TNM stage were as follows:T3N0M0 5 cases,T3N1M0 1 case,T3N2M0 2 cases,T4N0M0 7 cases,T4N1M0 4 cases,T4N2M0 1 case,T4N3M0 1 case. The laryngeal and pharyngeal functions were rebuilt by the remaining tissue when the lesions entirely removed. Ten cases were surgically treated with laryngeal functions preserved and 11 cases with total laryngectomy....

Objective To explore the surgical techniques in surgical treatment of postcricoid carcinoma. Methods Twenty-one cases with postcricoid carcinoma were treated surgically.The TNM stage were as follows:T3N0M0 5 cases,T3N1M0 1 case,T3N2M0 2 cases,T4N0M0 7 cases,T4N1M0 4 cases,T4N2M0 1 case,T4N3M0 1 case. The laryngeal and pharyngeal functions were rebuilt by the remaining tissue when the lesions entirely removed. Ten cases were surgically treated with laryngeal functions preserved and 11 cases with total laryngectomy. Eight cases were received unilateral neck dissection, and 3 cases were received bilateral neck dissection.All the cases received postoperative radiotherapy. Results The follow-up interval varied from 60 to 276 months with average interval 96 months. Four cases died of cervical metastasis,3 died of local recurrence,1 died of cardiopulmonary failure,2 died of unknown reasons.The overall 3 and 5 year survival rates were 61.9%(13/21) and 52.4%(11/21),respectively. Among 10 cases having laryngeal functions partially restored(voice and deglutition), the postoperative complications included 5 cases of pharyngeal fistula,3 hypopharyngeal stenosis and 1 severe aspiration. Conclusions The preservative surgery is feasible for the selected cases with postcricoid carcinoma.The laryngeal function can be partially restored with lesions entirely removed. The patients can gain satisfied survival rate and quality of life.

目的探讨环后癌手术治疗的相关技术方法。方法对21例环后癌患者进行手术治疗,其中T3N0M05例,T3N1M01例,T3N2M02例,T4N0M07例,T4N1M04例,T4N2M01例,T4N3M01例。在彻底切除肿瘤的前提下,保留可利用的正常组织进行咽喉功能重建。共行保留喉功能手术10例,不保留喉功能手术11例,同时行单侧颈清扫术8例,双侧颈清扫术3例,术后行辅助放疗。结果随访时间60~276个月,平均96个月。全组患者3年生存率61.9%(13/21),5年生存率52.4%(11/21)。随访期间死于颈淋巴结转移4例,肿瘤局部复发3例,心肺功能衰竭1例,原因不明2例。喉功能保留病例仅恢复了发音和吞咽保护功能。术后出现咽瘘5例,下咽狭窄3例,严重误吸1例。结论在彻底切除肿瘤的前提下谨慎选择环后癌手术方法,利用保留下来的正常喉组织进行喉功能重建,从而恢复喉的部分功能是可行的。患者可获得较好的生存率和生存质量。

Objective:To discuss the feasibility of using remaining laryngeal flap to reconstruct the hypopharyngeal defect in pyriform sinus carcinoma resection.Method:Seven patients with pyriform sinus carcinoma to reconstruct hypopharyngeal defect with remaining laryngeal flap were summarized. Half the hypopharynx and half the larynx were resected and unaffected half the larynx was reserved. On the unaffected side, thyroid, cricoid and arytenoid cartilages were removed and inner perichondrium was reserved. A 4.0 cm×2.0...

Objective:To discuss the feasibility of using remaining laryngeal flap to reconstruct the hypopharyngeal defect in pyriform sinus carcinoma resection.Method:Seven patients with pyriform sinus carcinoma to reconstruct hypopharyngeal defect with remaining laryngeal flap were summarized. Half the hypopharynx and half the larynx were resected and unaffected half the larynx was reserved. On the unaffected side, thyroid, cricoid and arytenoid cartilages were removed and inner perichondrium was reserved. A 4.0 cm×2.0 cm laryngeal flap was made with a broad base on the base of tongue. Subhyoid muscles on unaffected side were reserved and superior laryngeal artery should not be injuried. The food canal was reconstructed with the pulleddown mucosa of the base of the tongue, the unaffected half of the larynx and the remnant hypopharyngeal mucosa. Postoperative radiation (60 Gy) was undertaken.Result:Six cases healed normally. Local infection and pharyngeal fistula were found in one case and cured in two weeks. No hypopharyngeal stenosis was observed. Through three to five years followup of the seven patients, three died in three years and one died in four years.Conclusion:To the selected cases with pyriform sinus carcinoma, reconstruction of hypopharyngeal defect with laryngeal flap is simple and safe. The injury is relatively small and complications are not severe. In the case sufficient blood supply is insured, firm suture is the key point to prevent pharyngeal fistula.

目的:探讨梨状窝癌喉下咽切除术后应用残喉瓣修补下咽缺损的可行性。方法:应用残喉瓣修补梨状窝癌喉下咽切除术后下咽缺损7例。术中切除患侧半咽和半喉,保留健侧半喉,剔除甲状软骨、环状软骨及杓状软骨,将软骨内膜保留于喉瓣上,形成一个与健侧舌根有宽广基蒂的大小约4.0cm×2.0cm的喉瓣,术中保留健侧的舌骨下肌群,勿损伤健侧喉上动脉。下拉舌根与咽侧壁上方切缘缝合,喉瓣切缘与下咽后壁及食管入口上方切缘缝合。术后均行放疗,剂量为60Gy。结果:术后6例患者一期愈合;1例患者出现局部感染和咽瘘,经局部换药2周内愈合。全部患者吞咽功能良好。7例术后随访3~5年,3年内死亡3例,4年内死亡1例。结论:对于适合的梨状窝癌患者,应用残喉黏膜瓣修补下咽缺损具有操作简单,安全可靠,损伤小,并发症少的优点。

 
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