피부이식과 흉쇄유돌근 피판을 이용한 기관 결손의 재건 1례

• 영문명: Reconstruction of Tracheal Defect by Sternocleidomastoid Muscle Flap Covered with Skin Graft: A Case Report
• 발행기관: 대한두경부종양학회
• 저자명: 장수경(Soo Kyung Jang) 서강현(Gang Hyeon Seo) 최선(Sun Choi) 박석현(Seok Hyun Park) 김진환(Jin Hwan Kim) 이동진(Dong Jin Lee)
• 간행물 정보: 『대한두경부종양학회지』제37권 제1호, 63~66쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2021.05.30

영문 초록

Supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) or cricohyoidopexy (CHP) involves the removal of the whole thyroid cartilage, both true and false vocal cords, the ventricles, and the paraglottic spaces, sparing the cricoid cartilage, hyoid bone, and at least one functional and mobile cricoarytenoid unit. Reconstruction is performed by suturing of the cricoid cartilage up tightly to the hyoid bone, so trachea-releasing procedures are needed to prevent leakage at anastomosis site. In case of advanced tranglottic cancer invading tracheal tracheal wall, we need to perform additional circumferentrial circumferential tracheal wall resection. However, when we perform SCPL, circumferential resection of tracheal wall is limited because SCPL procedure itself needs releasing of tracheal length. We report a case of advanced transglottic cancer involving tracheal wall treated with induction chemotherapy and SCPL including tracheal wall resection with reconstruction of tracheal defect by sternocleidomastoid muscle flap covered with skin graft.

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키워드

Tracheal defect Reconstruction SCM muscle flap