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Abstract：
OBJECTIVE: To explore the clinical effectiveness of reconstructing laryngeal function using thyroid cartilage fenestration and \"draw-out\" resection, supplemented by internal fixation with titanium microplates in early glottic carcinoma.
METHODS: Data from 99 patients with glottic carcinoma treated in the Second Affiliated Hospital of Fujian Medical University between January 2014 and September 2021 were retrospectively analyzed. Forty-eight patients who underwent thyroid cartilage fenestration and resection followed by internal fixation with titanium microplates for laryngeal function reconstruction were assigned to the thyroid cartilage fenestration group (TCF group), while the other 51 patients who underwent sternohyoid muscle and fascia repair for laryngeal function reconstruction were assigned to the sternohyoid muscle repair group (SMR group). Patients were followed up for 1-8 years. Data on postoperative phonatory function, respiratory function, swallowing function, and survival status were collected.
RESULTS: Compared to the SMR group, patients in the TCF group showed better postoperative recovery in phonatory function and verbal communication (all P<0.05). In the TCF group, patients demonstrated stable respiration and the extubation rate was 100.00%, which was significantly higher than 82.35% in the SMR group (P<0.05). Patients in both groups showed good postoperative recovery of swallowing function (P>0.05).
CONCLUSIONS: One-stage reconstruction of laryngeal function by thyroid cartilage fenestration and \"draw-out\" resection with adjuvant internal titanium microplate fixation in early glottic carcinoma demonstrates good postoperative recovery and good preservation of the laryngeal function.
METHODS: Data from 99 patients with glottic carcinoma treated in the Second Affiliated Hospital of Fujian Medical University between January 2014 and September 2021 were retrospectively analyzed. Forty-eight patients who underwent thyroid cartilage fenestration and resection followed by internal fixation with titanium microplates for laryngeal function reconstruction were assigned to the thyroid cartilage fenestration group (TCF group), while the other 51 patients who underwent sternohyoid muscle and fascia repair for laryngeal function reconstruction were assigned to the sternohyoid muscle repair group (SMR group). Patients were followed up for 1-8 years. Data on postoperative phonatory function, respiratory function, swallowing function, and survival status were collected.
RESULTS: Compared to the SMR group, patients in the TCF group showed better postoperative recovery in phonatory function and verbal communication (all P<0.05). In the TCF group, patients demonstrated stable respiration and the extubation rate was 100.00%, which was significantly higher than 82.35% in the SMR group (P<0.05). Patients in both groups showed good postoperative recovery of swallowing function (P>0.05).
CONCLUSIONS: One-stage reconstruction of laryngeal function by thyroid cartilage fenestration and \"draw-out\" resection with adjuvant internal titanium microplate fixation in early glottic carcinoma demonstrates good postoperative recovery and good preservation of the laryngeal function.
摘要：
目的：探讨甲状软骨开窗术和“拔除”切除术重建喉功能的临床效果。在早期声门型喉癌中辅以钛微板内固定。
方法：对2014年1月至2021年9月福建医科大学附属第二医院收治的99例声门型喉癌患者的资料进行回顾性分析。48例接受甲状软骨开窗切除后用钛微板内固定喉功能重建的患者分为甲状软骨开窗组(TCF组),而其他51例接受胸骨舌骨肌和筋膜修复喉功能重建的患者被分配到胸骨舌骨肌修复组（SMR组）。患者随访1-8年。术后发声功能数据，呼吸功能,吞咽功能,并收集生存状况。
结果：与SMR组相比，TCF组患者术后语音功能和言语交流恢复较好(均P<0.05)。在TCF组中,患者呼吸稳定,拔管率为100.00%,显著高于SMR组的82.35%(P<0.05)。两组患者术后吞咽功能恢复良好(P>0.05)。
结论：早期声门型喉癌采用甲状软骨开窗术和“抽出式”切除辅助内钛微型板固定的一期喉功能重建，术后恢复良好，喉功能得到了良好的保留。
方法：对2014年1月至2021年9月福建医科大学附属第二医院收治的99例声门型喉癌患者的资料进行回顾性分析。48例接受甲状软骨开窗切除后用钛微板内固定喉功能重建的患者分为甲状软骨开窗组(TCF组),而其他51例接受胸骨舌骨肌和筋膜修复喉功能重建的患者被分配到胸骨舌骨肌修复组（SMR组）。患者随访1-8年。术后发声功能数据，呼吸功能,吞咽功能,并收集生存状况。
结果：与SMR组相比，TCF组患者术后语音功能和言语交流恢复较好(均P<0.05)。在TCF组中,患者呼吸稳定,拔管率为100.00%,显著高于SMR组的82.35%(P<0.05)。两组患者术后吞咽功能恢复良好(P>0.05)。
结论：早期声门型喉癌采用甲状软骨开窗术和“抽出式”切除辅助内钛微型板固定的一期喉功能重建，术后恢复良好，喉功能得到了良好的保留。
