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首页> 外文期刊>Clinical and Experimental Otorhinolaryngology >Modified Continuous Mucosal Connell Suture for the Pharyngeal Closure After Total Laryngectomy: Zipper Suture
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Modified Continuous Mucosal Connell Suture for the Pharyngeal Closure After Total Laryngectomy: Zipper Suture

机译：全喉切除术后改良的连续粘膜康奈尔缝合线用于咽部闭合术：拉链缝合

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摘要

Objectives Pharyngocutaneous fistula is a serious complication after total laryngectomy, and there are some risk factors stated in the literature. The surgical suture techniques are not studied so much. The aim of this study is to evaluate the effectiveness of 'modified continuous mucosal Connell suture' on the incidence of pharyngocutaneous fistula after total laryngectomy. Methods This is a retrospective case series study based at a tertiary center with 31 patients who underwent total laryngectomy between July 2011 and December 2013. Pharyngocutaneous fistula formation after total laryngectomy was evaluated with the patients who underwent modified continuous mucosal Connell suture for pharyngeal repair. Results Pharyngocutaneous fistula was observed in only one patient (3.2%) who had a history of previous radiotherapy, and it was spontaneously healed within 6 days by conservative treatment. Conclusion We defined a new suture technique for the pharyngeal repair after total laryngectomy. This technique is a simple modification of continuous mucosal Connell suture. We named it as zipper suture. It is effective in the prevention of pharyngocutaneous fistula for pharyngeal reconstruction after total laryngectomy.
机译：目的咽喉瘘是全喉切除术后的严重并发症，在文献中有一些危险因素。对外科缝合技术的研究并不多。本研究的目的是评估“改良连续粘膜康奈尔缝合线”对全喉切除术后咽皮肤瘘管发生率的有效性。方法这是一项回顾性病例系列研究，以三级中心为中心，对2011年7月至2013年12月之间接受全喉切除术的31例患者进行了评估。对接受全喉连续改良Connell缝合进行咽部修复的患者的全喉切除术后咽皮肤瘘的形成进行了评估。结果仅1例有放疗史的患者（3.2％）观察到咽皮肤瘘，经保守治疗可在6天内自愈。结论我们定义了一种新的缝合技术，用于全喉切除术后的咽部修复。该技术是对连续粘膜康奈尔缝合线的简单修改。我们将其命名为拉链缝合线。全喉切除术后预防咽部皮肤瘘可有效重建咽部。

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