CN217828003U - Tracheoesophageal flap type fistulization special forceps for voice reconstruction after total larynx resection - Google Patents
Tracheoesophageal flap type fistulization special forceps for voice reconstruction after total larynx resection Download PDFInfo
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- CN217828003U CN217828003U CN202220230970.0U CN202220230970U CN217828003U CN 217828003 U CN217828003 U CN 217828003U CN 202220230970 U CN202220230970 U CN 202220230970U CN 217828003 U CN217828003 U CN 217828003U
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- pincers
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- lamella
- forceps
- flap
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- 210000000867 larynx Anatomy 0.000 title abstract description 4
- 238000002271 resection Methods 0.000 title description 2
- 210000000080 chela (arthropods) Anatomy 0.000 claims abstract description 56
- 241000446313 Lamella Species 0.000 claims abstract description 39
- 229910001220 stainless steel Inorganic materials 0.000 claims description 4
- 239000010935 stainless steel Substances 0.000 claims description 4
- 210000003437 trachea Anatomy 0.000 abstract description 33
- 210000003238 esophagus Anatomy 0.000 abstract description 22
- 238000009958 sewing Methods 0.000 description 4
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 210000003800 pharynx Anatomy 0.000 description 3
- 210000003685 cricoid cartilage Anatomy 0.000 description 2
- 210000003026 hypopharynx Anatomy 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000003872 anastomosis Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000002439 hemostatic effect Effects 0.000 description 1
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Abstract
The utility model provides a special pincers of tracheoesophageal flap formula fistulization that pronunciation was rebuild after full larynx excision, the tip of first pincers handle is equipped with first pincers lamella, the tip of second pincers handle is equipped with the second pincers lamella, first pincers lamella and second pincers lamella all are the isosceles triangle shape, its base is fixed connection respectively at the tip of first pincers handle and second pincers handle, be equipped with the first logical groove and the second logical groove that are on a parallel with two waist limits respectively on the first pincers lamella, it leads to the groove to be equipped with the third that is on a parallel with two waist limits respectively on the second pincers lamella and leads to the groove with the fourth, first logical groove and second lead to the groove and all link up first pincers lamella, and link up each other in the apex angle department of first pincers lamella, the third leads to the groove and the fourth leads to the groove and all link up the second pincers lamella, and link up each other in the apex angle department of second pincers lamella. Use the utility model discloses, when drawing together behind esophagus antetheca and the trachea rear wall fistulization art in order to form the triangle-shaped valve, the dislocation of being difficult to slide behind esophagus antetheca and the trachea, the triangle-shaped valve edge of falling is neat, and it brings a lot of facilities to rebuild the operation for subsequent pronunciation.
Description
Technical Field
The utility model belongs to the technical field of medical instrument, specifically relate to a special pincers of tracheoesophageal flap formula fistulization art that pronunciation was rebuilt after the larynx excision.
Background
After the total laryngectomy, the pronunciation reconstruction is very important for the patient, so that the life quality of the patient can be improved, the dignity of the patient can be guaranteed, and the like. The pronunciation reconstruction generally comprises a pharynx-trachea anastomosis, a hypopharynx-trachea fistulization, a trachea-esophagus fistulization, an esophagus-trachea-cervical skin fistulization, an artificial pronunciation device and the like, wherein the trachea-esophagus flap type fistulization is relatively simple, the success rate is high, and the pain of mistaking pharynx is not overcome. In tracheoesophageal flap type fistulization, need close up the back with the trachea back wall with the esophagus antetheca and go on the fistulization in order to form the valve of falling triangle-shaped, but because the tracheal pipe wall of esophagus is comparatively soft smooth, current medical instrument, for example tweezers, hemostatic forceps etc. are difficult to close up behind esophagus antetheca and the trachea wall, when going the fistulization, the dislocation of easily sliding of wall behind esophagus antetheca and the trachea, cause the valve edge of falling triangle-shaped untidy, bring very big trouble for subsequent pronunciation reconstruction operation.
Disclosure of Invention
The utility model mainly solves the technical problems existing in the prior art and provides the special tracheoesophageal flap type fistulization forceps for voice reconstruction after total laryngectomy.
The above technical problem of the present invention can be solved by the following technical solutions:
the utility model provides a special pincers of tracheoesophageal flap formula fistulization of pronunciation rebuild after total laryngectomy, including first pincers handle and second pincers handle of mutual articulated, the tip of first pincers handle is equipped with first pincers lamella, the tip of second pincers handle is equipped with the second pincers lamella, first pincers lamella and second pincers lamella all are isosceles triangle-shaped, its apex angle is 50-70 degrees, its waist length is 18-22mm, its thickness is 0.8mm-1.2mm, its base is fixed connection respectively at the tip of first pincers handle and second pincers handle, be equipped with the first logical groove and the second logical groove that are on a parallel with two waist respectively on the first pincers lamella, be equipped with the third logical groove and the fourth logical groove that are on the second pincers lamella and are on a parallel with two waist respectively, first logical groove and second logical groove all link up first pincers lamella, and link up each other in the apex angle department of first pincers lamella, third logical groove and fourth logical groove all link up each other, and link up each other in the logical groove of second lamella, the length of four pincers lamellas is 14-16.8 mm, the second logical groove and the second logical groove corresponds to the straight groove, and the second logical groove sets up when using first straight groove and second straight groove, the second straight groove.
Preferably, the vertex angle of the first and second clamp halves is 60 degrees, that is, the first and second clamp halves are in the shape of equilateral triangles.
Preferably, the length of the waist edge of each of the first forceps flap and the second forceps flap is 20mm, the thickness of each of the waist edges of the first forceps flap and the second forceps flap is 1.0mm, the length of each of the first through groove, the length of each of the second through groove, the length of each of the third through groove and the length of each of the fourth through grooves are 15mm, and the width of each of the first through groove, the second through groove, the third through groove and the fourth through groove is 1.0mm.
Preferably, the first and second clamp pieces are made of stainless steel.
During operation, firstly performing conventional full laryngectomy, cutting off cricoid cartilage, cutting off hypopharynx and cricopharyngeal muscles at two sides of pharynx and esophagus, cutting open two centimeters deep along the midline of the front wall of trachea, unfolding and fixing two angles of the trachea wall at two sides, exposing the rear wall of trachea, then respectively inserting the first forceps flap and the second forceps flap into trachea and esophagus, respectively positioning the triangular forceps flaps at the centers of the front wall of esophagus and the rear wall of trachea, and positioning the bottom edge of the triangular forceps flap at a distance of about seven millimeters from the broken edge of trachea, operating the first forceps handle and the second forceps handle to clamp the front wall of esophagus and the rear wall of trachea, respectively positioning the first forceps flap and the second forceps handle along the first through groove, the third through groove, the second through groove and the fourth through groove to the front wall of esophageal and the rear wall of trachea, respectively forming an inverted triangle of about fifteen millimeters on the front wall of esophagus and the rear wall of trachea, respectively positioning the esophageal wall and suturing the rear wall of trachea, respectively sewing up the inverted triangle of esophagus wall and the incision of trachea, and cutting off the two sides of the incision of the upper end of the tracheostomy, respectively, and sewing up the inverted triangle of the incision of trachea.
Use the utility model discloses, when drawing together behind esophagus antetheca and the trachea back wall fistulization art in order to form the triangle-shaped valve of falling, the dislocation of being difficult to slide of esophagus antetheca and trachea back wall, the triangle-shaped valve edge of falling is neat, rebuilds the operation and brings a great deal of facility for subsequent pronunciation. Therefore, the utility model has the characteristics of simple structure, reasonable in design etc.
Drawings
Fig. 1 is a schematic structural diagram of the present invention.
In the drawing, 1 represents a first forceps handle, 2 represents a second forceps handle, 3 represents a first forceps flap, 4 represents a second forceps flap, 5 represents a first through groove, 6 represents a second through groove, 7 represents a third through groove, and 8 represents a fourth through groove.
Detailed Description
The technical solution of the present invention is further specifically described below by way of examples and with reference to the accompanying drawings.
Example (b): referring to fig. 1, a tracheoesophageal flap type fistulization forceps for total laryngectomy and sound reconstruction comprises a first forceps handle and a second forceps handle which are hinged with each other, wherein a first forceps flap is arranged at the end part of the first forceps handle, a second forceps flap is arranged at the end part of the second forceps handle, the first forceps flap and the second forceps flap are both in an isosceles triangle shape, the vertex angle is 50-70 degrees, the waist length is 18-22mm, the thickness is 0.8-1.2mm, the bottom edge is fixedly connected with the end parts of the first forceps handle and the second forceps handle respectively, a first through groove and a second through groove which are parallel to the two waist edges respectively are arranged on the first forceps flap, the second pincers lamella is provided with a third through groove and a fourth through groove which are parallel to two waist edges respectively, the first through groove and the second through groove are communicated with the first pincers lamella, the vertex angle of the first pincers lamella is communicated with each other, the third through groove and the fourth through groove are communicated with the second pincers lamella, the vertex angle of the second pincers lamella is communicated with each other, the length of the four through grooves is 14-16mm, the width of the four through grooves is 0.8-1.2mm, the first pincers lamella and the second pincers lamella are matched with each other in use, the first through groove and the third through groove are correspondingly arranged, and the second through groove and the fourth through groove are correspondingly arranged. As a further improvement, the vertex angle of the first clamp piece and the vertex angle of the second clamp piece are 60 degrees, namely the first clamp piece and the second clamp piece are both in an equilateral triangle shape; the lengths of the waist edges of the first clamp clack and the second clamp clack are 20mm, the thicknesses of the waist edges of the first clamp clack and the second clamp clack are 1.0mm, the lengths of the first through groove, the second through groove, the third through groove and the fourth through groove are all 15mm, and the widths of the first through groove, the second through groove, the third through groove and the fourth through groove are all 1.0mm; the first clamp clack and the second clamp clack are made of stainless steel.
During operation, firstly performing conventional full laryngectomy, cutting off cricoid cartilage, cutting off hypopharynx and cricopharyngeal muscles at two sides of pharynx and esophagus, cutting open two centimeters deep along the midline of the front wall of trachea, unfolding and fixing two angles of the trachea wall at two sides, exposing the rear wall of trachea, then respectively inserting the first forceps flap and the second forceps flap into trachea and esophagus, respectively positioning the triangular forceps flaps at the centers of the front wall of esophagus and the rear wall of trachea, and positioning the bottom edge of the triangular forceps flap at a distance of about seven millimeters from the broken edge of trachea, operating the first forceps handle and the second forceps handle to clamp the front wall of esophagus and the rear wall of trachea, respectively positioning the first forceps flap and the second forceps handle along the first through groove, the third through groove, the second through groove and the fourth through groove to the front wall of esophageal and the rear wall of trachea, respectively forming an inverted triangle of about fifteen millimeters on the front wall of esophagus and the rear wall of trachea, respectively positioning the esophageal wall and suturing the rear wall of trachea, respectively sewing up the inverted triangle of esophagus wall and the incision of trachea, and cutting off the two sides of the incision of the upper end of the tracheostomy, respectively, and sewing up the inverted triangle of the incision of trachea.
Use the utility model discloses, when drawing together behind esophagus antetheca and the trachea rear wall fistulization art in order to form the triangle-shaped valve, the dislocation of being difficult to slide behind esophagus antetheca and the trachea, the triangle-shaped valve edge of falling is neat, and it brings a lot of facilities to rebuild the operation for subsequent pronunciation. Therefore, the utility model has the characteristics of simple structure, reasonable in design etc.
Finally, it should be noted that the above embodiments are merely representative examples of the present invention. Obviously, the present invention is not limited to the above-described embodiments, and many modifications are possible. Any simple modification, equivalent change and modification made to the above embodiments according to the technical spirit of the present invention should be considered as belonging to the protection scope of the present invention.
Claims (5)
1. The utility model provides a special pincers of tracheoesophageal flap formula fistulization of pronunciation rebuild after total laryngectomy, including first pincers handle and second pincers handle of mutual articulated, its characterized in that the tip of first pincers handle is equipped with first pincers lamella, the tip of second pincers handle is equipped with the second pincers lamella, first pincers lamella and second pincers lamella all are isosceles triangle-shaped, its apex angle is 50-70 degrees, its waist length is 18-22mm, its thickness is 0.8mm-1.2mm, its base is fixed connection respectively at the tip of first pincers handle and second pincers handle, be equipped with the first logical groove and the second logical groove that are on a parallel with two waist limits respectively on the first pincers lamella, be equipped with the third logical groove and the fourth logical groove that are on a parallel with two waist limits respectively on the second pincers lamella, first logical groove and second logical groove all link up the first pincers lamella, and link up each other in the apex angle department of first pincers lamella, the third logical groove and the fourth logical groove all link up the second lamella, and link up each other logical groove in the second lamella, the length that the first logical groove and the second pincers lamella link up each other, the first logical groove and the second logical groove 14-8.8 mm, and the second logical groove that the straight groove that the apex angle set up each other corresponds to each other, and the second pincers lamella, and the straight groove that use when the straight groove that the apex angle sets up.
2. The special tracheoesophageal flap-type ostomy forceps for voice reconstruction after total laryngectomy of claim 1, wherein the vertex angle of the first forceps flap and the second forceps flap is 60 degrees, i.e. the first forceps flap and the second forceps flap are both in the shape of equilateral triangle.
3. The special tracheoesophageal flap type fistulization forceps for total laryngectomy sound reconstruction is characterized in that the length of the waist edge of the first forceps flap and the waist edge of the second forceps flap are 20mm, the thickness of the first forceps flap and the thickness of the second forceps flap are 1.0mm, and the length of each of the first through groove, the second through groove, the third through groove and the fourth through groove is 15mm, and the width of each of the first through groove, the second through groove, the third through groove and the fourth through groove is 1.0mm.
4. The tracheoesophageal flap-type fistulization forceps special for voice reconstruction after total laryngectomy as claimed in claim 1 or 2, characterized in that the first forceps flap and the second forceps flap are both made of stainless steel.
5. The tracheoesophageal flap-type ostomy forceps special for voice reconstruction after total laryngectomy as claimed in claim 3, wherein the first forceps flap and the second forceps flap are made of stainless steel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202220230970.0U CN217828003U (en) | 2022-01-27 | 2022-01-27 | Tracheoesophageal flap type fistulization special forceps for voice reconstruction after total larynx resection |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202220230970.0U CN217828003U (en) | 2022-01-27 | 2022-01-27 | Tracheoesophageal flap type fistulization special forceps for voice reconstruction after total larynx resection |
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| Publication Number | Publication Date |
|---|---|
| CN217828003U true CN217828003U (en) | 2022-11-18 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202220230970.0U Active CN217828003U (en) | 2022-01-27 | 2022-01-27 | Tracheoesophageal flap type fistulization special forceps for voice reconstruction after total larynx resection |
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| Country | Link |
|---|---|
| CN (1) | CN217828003U (en) |
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- 2022-01-27 CN CN202220230970.0U patent/CN217828003U/en active Active
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