Tracheostoma Construction during Laryngectomy: A Simple Technique to Prevent Stenosis

喉全切除時氣管瘻口之建造：一個預防狹窄的簡單方法

朱本元(Pen-Yuan Chu) ； 張學逸(Shyue-Yih Chang)

《中華民國耳鼻喉科醫學會雜誌》 29卷5期 (1994/10) Pp. 362-367

https://doi.org/10.6286/1994.29.5.362

摘要

氣管造口狹窄是喉全切除術後常見的併發症之一，文獻的報告，其發生的機率從4%~42%不等，至今雖然有許多預防的手術方法被報告，但是，此併發症似乎還未得到理想的解決。本研究是介紹一個簡單的氣管造口建造的方法，在連續的100例喉全切除病患中，僅2例發生氣管造口狹窄。手術的原則在於維持一個完整的氣管軟骨環，以作為氣管造口自然的支撐，同時手術後並避刷使用氣管內管。從本研究的結果來分析，氣管造口狹窄的發生，主要決定於外科手術的技巧。而本方法不但簡單且不會增加手術的複雜性，同時也可理想的避免喉全切除術後氣管造口狹窄的發生。

並列摘要

Tracheostomal stenosis is one of the major complications of total laryngectomy. The reported incidence of tracheostomal stenosis in the literature was from 4% to 42%. Many methods of prevention and treatment have been reported, yet numerous patients still develop this type of complication. In this series, 100 consecutive cases received total laryngectomy and tracheostoma construction, only two cases developed tracheostomal stenosis. The principle of tracheostoma construction uses an intact cartilage ring of the trachea to serve as a natural stenting and avoids the use of the tracheotomy tube. The results of our analysis show that the occurrence of tracheostomal stenosis appears to be mainly determined by surgical technique. By not complicating the procedures of surgery, this method ideally prevents post-laryngectomy tracheostomal stenosis.

並列關鍵字

tracheostoma construction ； total laryngectomy