JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (1): 56-60.doi: 10.6040/j.issn.1673-3770.0.2017.526

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The application of local tissue flaps in primary reconstruction of laryngeal function after laryngectomy

LIN Yun, PAN Xinliang, LIU Dayu, SUN Ruijie, LI Xuexin, JIANG Zhen, YUE Jianlin   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2017-12-15 Online:2018-01-20 Published:2018-01-20

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Abstract: Objective To discuss and evaluate the application and outcomes of local tissue flaps in primary reconstruction of laryngeal function after laryngectomy. Methods A retrospective analysis of 658 operations in patients with laryngeal carcinoma from the Department of Otolaryngology, Qilu Hospital of Shandong University, was performed. The patients underwent primary reconstruction of laryngeal function immediately following laryngectomy using the sternohyoid flap, thyrohyoid flap, epiglottis flap, pre-cervical skin flap, and/or pectoralis major flap. Results All patients received a tracheotomy and had their laryngeal function preserved in the primary surgery. Five hundred and forty-six patients underwent single or combination sternohyoid flap reconstruction. Forty-five patients underwent single or combination thyrohyoid flap reconstruction. Thirty-nine patients underwent reconstruction with the epiglottis flap. Twenty-eight patients underwent reconstruction with the pre-cervical skin flap. The total 3-year survival rate was 83.01%, and the total 5-year survival rate was 72.53%. The total extubation rate was 86.04%. Conclusion The use of local tissue flaps is advantageous for reconstruction in head and neck surgery because of their good blood supply, their ability to support a variety of surgical options, and the surgical simplicity of the operations in which they are used. Local flaps play an important role in one-stage reconstruction of laryngeal function when used flexibly.

Key words: Head and neck tumor, Reconstruction, Surgical flap

CLC Number: 

  • R767
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