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Two subtypes of supracricoid partial laryngectomy were performed, one with epiglottis preserved and reconstructed with cricohyoidoepiglottopexy, the other involved epiglottic resection and reconstructed with cricohyoidopexy.

手术方法分两类:一类是切除喉的环上区,保留会厌部分,行环-舌骨-会厌固定术;另一类是切除喉环上区,行环-舌骨固定术。

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。

Hyoid suspension surgery can treat patients with OSAHS suffering from glossopharyngeal stegnosis by dragging the hyoid bone anteriorsuperiorly to enlarge the airway space on the glossopharyngeal plane.

舌骨悬吊术可通过向前上牵拉舌骨,扩大舌咽平面后气道间隙,达到治疗舌咽平面狭窄的部分OSAHS患者。

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。

Both camps to live independently, but also the parasitic life of the business, often with suction cups attached to the other fish, and with the sucker in and suprahyoid of the horny teeth filing breaking fish, taking his blood and meat, sometimes taking the last of the fish skeleton left .

两大阵营的独立生活,而且还寄生生活的业务与附于其他鱼类的吸盘,经常与在吸盘和角质齿鱼备案舌骨上破,以他的血和肉,有时到最后左边的鱼骨架。

Methods Two hundred and one cases with normal tongues were examined with percutaneous suprahyoid real-time high-frequency ultrasound and color Dopple ultrasound. The views and the sizes of the different parts of the tongue were determined.

应用实时高频超声经皮舌骨上区检查法检查201例正常人舌,确定舌的切面图并进行舌的径线测定。

uvulopalatopharyngoplasty counterparts narrow pharynx mainly of OSAHS is a well-established method of operation, right with severe hypertrophy of the tongue patients should be OK Suprahyoid suspension.

腭咽成形术对口咽部狭窄为主的OSAHS是行之有效的手术方法,对伴有严重舌肥厚的患者应同时行舌骨上悬吊术,应高度重视围麻醉期和围手术期并发症。

Objective : To investigate the obstructive sleep apnea-hypopnea syndrome surgical therapy; Methods : 30 patients with routine examination all were found to have a narrow oropharynx mainly of upper airway obstruction, OK simple tracheostomy 1, tracheotomy anesthesia in two cases, posterior pharyngeal surgery in 28 cases. velopharyngeal surgery Suprahyoid suspension for two cases; Results : 27 patients recently effective, and the total efficiency of 90%. 26 cases of long-term effective, and the total efficiency of 86.7%, complications including intubation asphyxiation, hemorrhage, such as eating reflux.

目的:探讨阻塞性睡眠呼吸暂停低通气综合征的手术治疗;方法:30例患者经常规检查发现均存在以口咽部狭窄为主的上气道阻塞,行单纯气管切开术1例,气管切开插管麻醉2例,行腭咽部手术28例,腭咽部手术联合舌骨上悬吊术2例;结果:近期27例有效,总有效率90%,远期26例有效,总有效率86.7%,并发症包括插管窒息、出血、进食反流等。

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