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下舌骨

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These other structures includes Sternocleidomastoid, Omohyoid muscle, Internal Jugular vein, Spinal Accessory vein, Submaxillary salivary gland.

这些其他的结构,包括胸锁乳突肌,肩胛舌骨肌,颈内静脉,脊髓配件静脉,颌下唾液腺。

A total of 92 normal children (46 male, 46 female) were included in our superficial DCLNs study, and all LNs were divided into superior or inferior groups by cricoid cartilage (where the omohyoid muscle crosses the internal jugular vein), whereas the LNs of enlarged group (47 children) were located in superior group.

浅表的颈深淋巴结正常组92例(男性46例和女性46例),以环状软骨(肩胛舌骨肌越过颈内静脉处)为界,分为上群和下群淋巴结;肿大组47例,均属于上群淋巴结异常。

It is an available way to repair the defect of the hypopharyngeal paries anterior and the base of tongue with fascial flap/muscularflap/ muscular?fascial flap of the strap muscles.

胸骨舌骨肌及筋膜瓣可以修复下咽前壁、舌根、外侧壁,是一种简捷有效的修复方式。

Among them, 2 were treated by CO2 laser and the laryngeal cavity was exposed by distending laryngoscope under general anesthesia; 13 were treated by bipedical muscle flap. And 2 were selected by excising the stenosis and jumping together. Results: All of the patients achieved decannulation in the end.

根据情况分别采用支撑喉镜下CO2激光切除术,双蒂胸骨舌骨肌瓣修复术,狭窄部分切除+端端吻合术对17例喉瘢痕性狭窄患者进行治疗,部分患者放置硅胶T形管,术后随访时间均在3年以上。

Result:The genioglossus muscle originates from the superior mental spine,and the geniohyoid muscle originates from the inferior mental spine.

结果 :颏舌肌和颏舌骨肌分别起于上、下颏棘。

Methods:①Make clinical scale of the magnitude of the tongue and the palate to the group of the OSAHS and the normal control②Successive scanning of the upper airway at the states of the normal inspiration and under the Müller action on both normal controls and the OSAHS patients with multi-slice spiral computed tomography. The scope of scanning was from the roof of nasopharynx to the level of hypohyal, bonding multiplate volume reconstruction,using the image workstation to survey the cross section area, sagittal diameter, coronal diameter on the soft tissue thickness in the lateral pharyngealwall and posterior wall of the pharynx, and the postzone of soft palate, uvula palatine ,tongue and epiglottis.

采用高分辨率多排CT(multi-slice spiral computed tomography,MSCT)对正常人和OSAHS患者的上呼吸道分别在平静吸气状态下以及Müller动作下进行连续扫描,扫描范围从鼻咽顶部至舌骨下缘,图象进行三维重建,应用图像工作站测量正常人和OSAHS患者的软腭后区(retropalatal region,RP)、悬雍垂后区(uvula region,UV)、舌后区(retroglossal region,RG)和会厌后区(epiglottal region,EPG)气道横截面积(cross section area,CSA)、矢状径、冠状径、咽侧壁和咽后壁软组织厚度以及舌体大小(包括舌体长度、舌体最宽处的宽度、中纵切面面积,舌背高度)。

From May 1979 to Oct 1982, 48 infrahyoid myocutaneous flaps were used for reconstruction after resection of lingual carcinoma in 44 cases, 4 for carcinoma of retromolar buccal mucosa, 3 each for carcinoma of floor of mouth and parotid gland and 1 each for osteosarcoma of mandible and soft tissue sarcoma of face.

本文报道用60个舌骨下肌群肌皮瓣,在原修复舌癌根治术后舌缺损获得成功的基础上,进一步改进修复方法,对44例(48个瓣)舌癌和12例其它头颈部恶性肿瘤根治术后缺损进行立即修复。

MethodsFrom January 2003 to June 2008, 109 (98 males and 11 females) cases of severe OSAHS were treated with UPPP. All patients were checked with a fiber optic laryngoscope of Muller and X-ray or CT for upper air flue when they were in a waking state to locate the collapse level (oropharyngeal and palatopharyngeal level, most of them had an obstruction on the oropharyngeal level). After the UPPP, they were sent to the ICU and monitored with trachea cannula for 1 to 2days.

方法对重度OSAHS患者行UPPP联合舌骨悬吊术109例,每例患者术前均行清醒状态纤维喉镜下Muller检查、上气道的X线片或上气道CT测量,术前确定阻塞平面为腭-咽及舌-咽平面,但以舌-咽平面为主,均行UPPP联合舌骨悬吊术,术后均于ICU保留气管插管监护1~2d。

All patients were checked with a fiber optic laryngoscope of Muller and Xray or CT for upper air flue when they were in a waking state to locate the collapse level (oropharyngeal and palatopharyngeal level, most of them had an obstruction on the oropharyngeal level). After the UPPP, they were sent to the ICU and monitored with trachea cannula for 1 to 2days.

对重度OSAHS患者行UPPP联合舌骨悬吊术109例,每例患者术前均行清醒状态纤维喉镜下Muller检查、上气道的X线片或上气道CT测量,术前确定阻塞平面为腭-咽及舌-咽平面,但以舌-咽平面为主,均行UPPP联合舌骨悬吊术,术后均于ICU保留气管插管监护1~2d。

Continuing inferiorly and anteriorly , the main trunk runs superficial to the internal carotid artery but deep to the jugular vein , external carotid artery , and styloid process to the deep surface of the stylopharyngeus muscle , which it innervates . The glossopharyngeal branch to the pharyngeal plexlus leaves the nerve trunk by the time it has crossed the stylopharyngeus muscle , and passes anteriorly and inferiorly between the internal and external carotid arteries to the main trunk to join branches of the Vagus Nerve and the cervical sympathetic nerves to form the pharyngeal plexus on the middle constrictor muscle at the level of the hyoid bone .

舌咽神经主干继续向下、向前走行于颈内动脉的表面、颈内静脉、颈外动脉及茎突的深面,横过茎突咽肌深面,绕该肌中部下缘弯向前行,并发出分支支配该肌,穿过茎突咽肌后,舌咽神经的分支一咽支脱离主干,向下向前走行于颈内动脉及颈外动脉分叉处,与迷走神经的分支及颈交感神经的分支一起组成咽丛,咽丛位于舌骨水平的咽中缩肌上。

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