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作者报告用粘膜移植治疗喉蹼或严重的喉狭窄。手术方法为气管内插管麻醉,中线喉裂开进入喉腔,在纤维镜指引下仔细切开喉蹼,根据纤维镜所见将切缘修成类似正常声带的形状,测量粘膜创面。从下唇切取适当大小的粘膜,除去脂肪组织,移植于声门两侧粘膜缺损区,并在移植物下滴入纤维蛋白胶固定,若术前无气道阻塞,可Ⅰ期关闭喉裂开,移植物用可吸收线缝合,若喉裂开口需开放时则用6-0尼龙线缝合,并将皮肤切缘向内牵拉与移植
The authors report that mucosal transplantation treats throat webs or severe laryngeal stenosis. Surgical methods for endotracheal intubation anesthesia, midline laryngeal fissure into the larynx, under the guidance of fibroscope carefully cut throat webs, according to the fibroid mirror will be cut edge into a similar shape of the normal vocal cord, mucosal wound measurement. Cut the appropriate size of the mucosa from the lower lip, remove the adipose tissue, transplanted in the mucosal defect area on both sides of the glottis, and fibrin glue in the graft infusion, if no preoperative airway obstruction, can be closed on stage Ⅰ laryngectomy , The graft suture with absorbable, if the throat open when the need to open with 6-0 nylon suture, and cut the edge of the skin inward traction and transplantation