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目的 :探讨经一侧甲状软骨板入路行声门旁间隙手术的可行性和优越性。方法 :3例位于声门旁间隙的喉黏液囊肿患者 ,采用一侧甲状软骨“U”形部分切除术入路切除囊肿 ;1例喉外伤声门旁间隙异物采用一侧甲状软骨板垂直切开取出异物。结果 :3例喉黏液囊肿患者随访 1年均无复发 ,声音恢复正常状态 ;1例喉外伤异物患儿术后双侧声带运动正常 ,声门闭合良好。结论 :经一侧甲状软骨板切开或部分切除入路 ,可清晰显露声门旁间隙 ,在直视下彻底切除囊肿或取出异物 ,手术创伤小 ,不破坏喉的框架结构 ,不损伤喉黏膜 ,术后无并发症 ,是处理声门旁间隙良性病变的理想手术方式。
Objective: To investigate the feasibility and superiority of perineal glottic surgery on the one side of thyroid cartilage. Methods: Three patients with laryngeal mucosal cyst located in the glottic space were treated with “U” partial thyroidectomy on one side of the thyroid cartilage. One case of paravertebral glottic foreign body was cut vertically with thyroid cartilage Remove foreign body. Results: Three cases of laryngeal mucinous cyst were followed up for 1 year without recurrence, the sound returned to normal. One case of foreign body with laryngotracheal trauma had bilateral normal vocal cord movement and good glottis closure. Conclusion: One side of the thyroid cartilage plate incision or partial resection approach, the glottic clear space can be clearly revealed under direct vision to completely remove the cyst or remove foreign bodies, surgical trauma is small, does not destroy the laryngeal framework, does not damage the larynx mucosa , No postoperative complications, is the ideal surgical treatment of benign glottis clearance.