후두인두절제술 및 인두재건 후 다량의 출혈을 야기한 인두누공

• 영문명: Pharyngeal Fistula Causing Excessive Bleeding after Laryngopharyngectomy and Pharyngeal Reconstruction
• 발행기관: 대한두경부종양학회
• 저자명: 김승범(Seung Beom Kim) 진성민(Seong Min Jin) 강성훈(Sung Hoon Kang) 이준규(Joon Kyoo Lee)
• 간행물 정보: 『대한두경부종양학회지』제33권 제1호, 53~56쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2017.05.30

영문 초록

Pharyngocutaneous fistula is one of the most common wound complications after total laryngectomy. The leakage of saliva may cause an erosion of greater vessels nearby and result in a life-threatening bleeding. 65-year-old male received laryngectomy and pharyngectomy followed by Latissimus dorsi flap reconstruction due to recurred laryngeal cancer with oropharyngeal extension after postoperative radiotherapy. Pharyngeal fistula was developed and an excessive fresh blood flowed through the oral and nasal cavity. The patient was transferred to the operating room immediately, and the causing artery was ligated. The rupture of the common carotid artery and its branches should be warned when the pharyngocutaneous fistula is developed. Prompt and proper therapy must be performed for the patients with impending or acute hemorrhage.

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키워드

후두암 후두절제술 인두절제술 출혈 누공 Laryngeal neoplasm Laryngectomy Pharyngectomy Hemorrhage Fistula