Follow-up study of thyroid gland flap method after vertical partial laryngectomy.
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概要
- 論文の詳細を見る
For good phonatory function after vertical partial laryngectomy, active glottic reconstruction is necessary. The defect caused by removal of the tumor must be compensated for by a mass bulky enough to prevent future shrinkage. Since 1988, we have been reconstructing the larynx with a thyroid gland flap plus its vascular supply. Follow-up studies of 5 patients who underwent this procedure are described in this paper.Laryngeal fiberscopy, CT scanning, 99mTc scintigraphy, aerodynamic and acoustic examinations were performed. In every case, the thyroid gland flap survived in the larynx with no signs of atrophy. Phonatory function improved with time after the surgery. Slightly breathy and satisfactory voices were obtained even long after surgery.It is concluded that a bulky mass adjustable to the size of the defect with little shrinkage can be supplied by this procedure. The Thyroid gland flap is considered to be a suitable way to reconstruct the glottis after vertical partial laryngectomy.
著者
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藤田 明彦
京都大学医学部耳鼻咽喉科学教室
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児嶋 久剛
京都大学医学部耳鼻咽喉科学教室
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野々村 光栄
京都大学医学部耳鼻咽喉科学教室
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大森 孝一
京都大学医学部耳鼻咽喉科学教室
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金地 明星
島田市民病院耳鼻咽喉科
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藤田 明彦
京都大学医学部耳鼻咽喉科
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大森 孝一
京都大学医学部耳鼻咽喉科
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児嶋 久剛
京都大学医学研究科聴覚•雷語病態学領域
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