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全喉全下咽切除术后的各种修复术的死亡率均高于全喉次下咽或部分下咽切除术后利用剩余的咽粘膜一期封闭咽腔。因此在不影响安全切缘的同时如能保存足够多的咽粘膜进行缝合,即使仅能通过一根小鼻饲管也较全部咽切除更为可取。有人认为保存的下咽枯膜应不少于7~smm。本文通过一例下咽庙患者的手术经过,介绍一种下咽粘膜修复的方法。患者72岁男性,病
The mortality of various prostheses after total laryngectomy and total hypopharyngeal resection was higher than that of the remaining pharyngeal mucosa during the first or second hypopharyngeal resection. Therefore, if it is possible to preserve enough pharyngeal mucosa to be sutured without affecting the safety margin, it is preferable to pass through all the pharyngeal resections even through a small nasogastric feeding tube. Some people think that the preserved subgingival film should be no less than 7~smm. In this paper, a method of repairing the lower pharyngeal mucosa is introduced through an example of the surgery of the patients in the lower larynx. 72-year-old male, sick