흉쇄유돌근의 회전피판을 이용한 수술 중 발생한 유미루의 치료 1예

• 영문명: Case Report: Intraoperative Management Using Inferior Based Rotation Flap of Sternocleidomastoid Muscle for Chyle Fistula
• 발행기관: 대한두경부종양학회
• 저자명: 김서빈(Seo Bin Kim) 이형신(Hyoung Shin Lee) 이강대(Kang Dae Lee) 김성원(Sung Won Kim)
• 간행물 정보: 『대한두경부종양학회지』제32권 제2호, 79~83쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2016.11.30

영문 초록

Chyle fistula is one of the complications of neck dissections. Although immediate surgical repair seems to be the best choice when chyle leakage is observed during the operation, some operators can be embarrassed when chyle leakage is heavy and not controlled during surgery. In this case, chyle leakage was occurred after extensive resection of lymph nodes in left level IV, and was not controlled in any way. The clavicular head of sternocleidomastoid muscle was dissected and inferior-based muscular flap was rotated to cover the suspected region of fistula orifice. Amount of drainage was checked less than 20 ml per day in the following days, and drain tube was taken out on the 3rd postoperative days. We present the technique using the inferior based sternocleidomastoid muscle flap for intraoperative management of chyle leakage not easily controlled.

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키워드

유미루 흉쇄유돌근 회전피판 Chyle Leakage Sternocleidomastoid muscle Rotation flap