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Japanese

Glottic reconstruction with suprahyoid muscles after total laryngectomy Tamotsu Morimitsu 1 , Masami Takahashi 1 , Ichiro Matsumoto 1 , Shuichi Okada 2 1Dept. Otorhinolaryngology, Miyazaki Med. College 2Dept. Otorhinolaryngology, Fac. Medicine, Kyushu Univ. pp.651-655
Published Date 1981/9/20
DOI https://doi.org/10.11477/mf.1492209305
  • Abstract
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 For the rehabilitation of voice after total laryngectomy, Serafini's operation had created a sensation in the world. However, the results of the follow-up operation were not satisfactory because of frequent occurrence of aspiration into the trachea. In this paper a modified technique of Serafini's larynoplastic operation is reported. After total laryngectomy, the trachea was separatedfrom the esophagus. The hyoid bone with the suprahyoid muscles except the mylohyoid muscle was cut in the median and the hyoid bone was sutured at the posterior margin of the trachea bilateraly. Then the mucous membrane of the hypopharynx was sutured at the margin of the trachea, and at the anterior margin, the mucous membrane of the base of the tongue or the rest of the epiglottis and the mylohyoid muscle weresutured. Thus the neoglottis was formed at the prehyoid region and suspended at the posterior margin of the neoglottis (neoarytenoid) by the suprahyoid muscles. With this method the closure of the neoglottis with the base of tongue became more complete at the swallowing. The postoperative xerograph, laryngoesophagograph and the results of phoniatrical studies are presented.


Copyright © 1981, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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