장장근건과 전완유리피판술을 이용한 성대ㆍ인두재건술

• 영문명: Glottic and Pharyngeal Recostruction Using Radial Forearm Free Flap with Palmaris Longus Tendon
• 발행기관: 대한두경부종양학회
• 저자명: 이종우(Jong Woo Lee) 박경호(Kyung Ho Park) 이근석(Keun Suk Lee) 조승호(Seung Ho Cho) 김민식(Min Sik Kim)
• 간행물 정보: 『대한두경부종양학회지』제17권 제2호, 198~204쪽, 전체 7쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2001.11.30

영문 초록

Background and Objectives: As the laryngopharyngeal cancer is usually found at a advanced stage, it is difficult to get a wide surgical margin that preserves functional aspect and that is oncologically safe simultaneously. There were many operative technique to fulfill this principle, but none were satisfactory. Recently there were some reports about glottic and pharyngeal reconstruction using radial forearm free flap(RFFF) with palmaris longus tendon, which provided satisfactory oncologic and functional results. We attempted to perform this technique and to test usefulness at patients of laterally localized laryngopharyngeal tumor. Materials and Methods: Three patients were reconstructed glottis and pharynx using radial forearm free flap with palmaris longus tendon. Two hypopharyngeal cancer (T2N0M0) patients were performed wide vertical hemilaryngopharyngectomy and one supraglottic cancer(T2N0M0) patient was performed horizontovertical laryngopharyngectomy. Deglutitional function was evaluated with modified barium swallow and speech function was evaluated by speech pathologist. Results: Mean follow-up time was 29.3 months. There were no cancer recurrence. Their speech was satisfy-actory at social communication and oral feeding. They all have a complete oral nutrition from 26 days to 53 days. Decanulation time was from 71 days to 30 months. Conclusion: Glottic and pharyngeal reconstruction with radial forearm free flap could be accepted as a promising technique which offers a wide resection margin but satisfactory functional result in lateralized laryngohypopharyngeal cancer patients.

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키워드

반측수직인후절제 전완유리피판 장장근건 Wide vertical hemilaryngopharyngectomy Radial forearm free flap Palmaris longus tendon