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目的探讨联合应用颈部肌筋膜瓣行晚期喉癌术后整复的可行性。方法在广泛切除病变的基础上，设计制作颈阔肌肌筋膜瓣及胸舌骨肌肌筋膜瓣，与残喉断缘粘膜缝合制成新喉腔。结果治疗２２例，术后全部病例均恢复以口进食，均获得不同程度的会话能力，２０例拔管后恢复经口鼻呼吸功能，拔管率９０９％，３ａ生存率７２２％，５ａ生存率６３６％。结论联合应用颈阔肌及胸舌骨肌筋膜瓣行晚期喉癌术后整复是可行的，有助于保留喉功能。
Objective To investigate the feasibility of combined application of cervical myofascial flap in the treatment of postoperative laryngeal cancer. Methods On the basis of extensive resection of the lesion, the myofascial flap of the platysma muscle and myofascial flap of the thoracohyoid muscle were designed and made, and the mucosa of the broken throat was made into a new throat cavity. Results Twenty-two patients were treated by oral rehydration after oral administration, all of them had different degrees of conversational ability. After extubation of 20 patients, the nasopharyngeal respiratory function was restored, the extubation rate was 90.9%, the survival rate of 3a was 722% , 5a survival rate of 63 6%. Conclusions The combined application of platysma and thoraco-myofascial fasciocutaneous flap in the treatment of advanced laryngeal carcinoma is feasible and helpful in preserving laryngeal function.