하인두 및 경부식도 결손의 재건

• 영문명: Reconstruction of Hypopharynx and Cervical Esophagus : Choice of Flap
• 발행기관: 대한두경부종양학회
• 저자명: 최은창(Eun Chang Choi) 이세영(Sei Young Lee) 정태영(Tae Young Chung) 김세헌(Se Heon Kim) 김영호(Young Ho Kim) 유대현(Dae Hyun Ryu) 김충배(Choong Bae Kim)
• 간행물 정보: 『대한두경부종양학회지』제16권 제1호, 26~32쪽, 전체 7쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2000.05.30

영문 초록

Background and Objectives: Various flaps are using for reconstruction of hypopharyngeal and esophageal defect. However, complication and indication of each flap are not fully analyzed. Patient and Methods: Records of 52 hypopharyngeal cancer patients who had surgical treatment and 13 other head and neck cancer patients who underwent hypopharyngeal and/or esophageal reconstruction with flap were retrospectively analyzed. Eighty three percent(54 cases) of patients needed reconstruction other than primary pharyngeal closure. Five split thickness skin graft, 1 pectoralis major myocutaneous flap, 20 forearm free flap, 13 jejunal free flap, 15 gastric pull up were used. Result: Flap failure was noted in 2 cases who had subsequent gastric transposition. Wound dehiscence and fistula were most common problem of forearm free flap. Most fistulas were developed in patients with conduit type reconstruction of forearm flap while there wasn't any fistula in patient with patch type reconstruction. Stenosis of lower anastomosis was the frequent problem of jejunal transfer. Gastric pull-up has frequent com-plication of stomal stenosis. All but three patients had reached oral feeding postoperatively. Conclusion: Based on this study, forearm flap is effective in partial hypopharyngeal defect while jejunum is the choice for circumferential defect. Gastric pull-up is for combined esophageal defect.

목차

Abstract

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대상 및 방법

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고찰

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References

키워드

Hypopharyngeal reconstruction Complication Gastric pull-up Free jejunal transfer Forearm free flap