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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Repair of short type IV laryngotracheoesophageal cleft using long, tapered, engaging graft without need for tracheotomy
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Repair of short type IV laryngotracheoesophageal cleft using long, tapered, engaging graft without need for tracheotomy

机译：无需气管切开术，即可使用长的，渐缩的，啮合的长形移植物修复IV型短喉气管食管裂隙

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摘要

An infant with a type IV laryngotracheoesophageal cleft underwent transcervical repair using a long tapered cartilage graft. A laryngofissure was carried down to the innominate artery to expose the cleft that extended 5 mm inferior to the vessel. The edges of the cleft were excised, the trachealis was separated from the esophagus that was reapproximated, and clavicular periosteum was placed. A long posterior costal cartilage graft that tapered inferiorly in anteroposterior dimension and engaged behind the cricoid plate was inserted. This added rigidity to the repair and obviated the need for a tracheotomy while providing a four-layer closure.
机译：一名患有IV型喉气管食管裂隙的婴儿使用长锥形软骨移植物进行了宫颈修复。喉裂被带到无名动脉以暴露在血管下方延伸5毫米的裂口。切开裂口的边缘，将气管与重新贴近的食道分开，并放置锁骨骨膜。插入了一个长的后肋软骨移植物，该移植物在前后方向上逐渐变细，并接合在环板后面。这增加了修复的刚性，并避免了在进行四层闭合的同时进行气管切开术的需要。

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