후두적출술 후 발생한 인두피부누공의 치료 경험

• 영문명: Management of Pharyngocutaneous Fistula Following Laryngectomy
• 발행기관: 대한두경부종양학회
• 저자명: 민헌기(Hun Ki Min) 권순영(Soon Young Kwon) 정광윤(Kwang Yoon Jung) 최종욱(Jong Ouck Choi)
• 간행물 정보: 『대한두경부종양학회지』제11권 제2호, 167~172쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1995.11.30

영문 초록

Pharyngocutaneous fistula(PCF) is one of the complications following total laryngectomy in laryngeal and hypopharyngeal cancer. Fistula lead to delayed wound healing, more serious complications such as carotid blow-out, prolonged hospitalization, significant patient morbidity and occasional mortality. Identification of patients at high risk for fistula formation, appropriate preventive measures, and appropriate management are the head and neck surgeon's responsibility. So we analyzed the clinical data of pharyngocutaneous fistula which was developed after total laryngectomy. Following results were obtained: 1) Occurrence of PCF increases with salvage surgery compared to curative surgery. 2) Early detection and effective management of PCF are the key factors to decreasing the hospitalization period. 3) Constructing a pharyngostoma seems to be an ideal method of preventing dangerous complications and ultimately closing the fistula. 4) Simultaneous reconstruction is necessary in the high risk group.

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대상 및 방법

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키워드

Pharyngocutaneous fistula Laryngectomy Pharyngostoma