The Application of Platysma Myocutaneous Flap in Tracheostomy after Total Laryngectomy: A Novel Surgical Technique.

IF 2.5 4区医学 Q2 SURGERY

European Surgical Research Pub Date : 2026-01-01 Epub Date: 2026-04-24 DOI:10.1159/000550547

Chen Cao, Fanqin Wei, Jie Deng, Liping Chai, Zhangfeng Wang

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引用次数: 0

Abstract

Introduction: Here we presented a new surgical technique for tracheostomy using the platysma myocutaneous flap after total laryngectomy and analyzed its results and follow-up data.

Methods: In this innovative technique, longitudinal incisions are made on the posterior tracheal wall with a platysma myocutaneous flap for tracheostomy. The outcomes and analyses of 168 patients who underwent tracheostomy (from December 2006 to June 2021) were recorded.

Results: The incidence of post-tracheostomy tracheal stenosis was 2.38%, which is much lower than that of conventional surgery. Stoma size was not affected by body mass index, smoking, alcohol consumption, diabetes, and number of resected tracheal cartilage rings (p > 0.05). Patients who underwent this surgery had reduced psychological problems and increased physical appearance satisfaction.

Conclusion: This technique is easily reproducible and suitable for patients with lower incidence of tracheal stenosis and higher satisfaction.

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颈阔肌皮瓣在全喉切除术后气管造口术中的应用：一种新的手术技术。

在此，我们提出一种新的喉全切除术后气管造口手术技术，并分析其结果及随访资料。方法采用颈阔肌皮瓣在气管后壁作纵向切口进行气管切开术。记录了168例气管切开术患者（2006年12月至2021年6月）的结果和分析。结果气管造口术后气管狭窄发生率为2.38%，明显低于常规手术。体重指数、吸烟、饮酒、糖尿病和气管软骨环切除数对造口大小无显著影响（P < 0.05）。接受这种手术的患者减少了心理问题，提高了对外表的满意度。结论该方法重复性好，适用于气管狭窄发生率低、满意度高的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Surgical Research 医学-外科

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： ''European Surgical Research'' features original clinical and experimental papers, condensed reviews of new knowledge relevant to surgical research, and short technical notes serving the information needs of investigators in various fields of operative medicine. Coverage includes surgery, surgical pathophysiology, drug usage, and new surgical techniques. Special consideration is given to information on the use of animal models, physiological and biological methods as well as biophysical measuring and recording systems. The journal is of particular value for workers interested in pathophysiologic concepts, new techniques and in how these can be introduced into clinical work or applied when critical decisions are made concerning the use of new procedures or drugs.