Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Angiographic and CT Scan Follow-up of the Omental Free Graft in the Mediastinum - A Case Report -

종격에 자유이식된 대공막의 혈관조영 및 전산화 단층촬영 추적결과 - 1례 보고 -

  • Sun, Kyung (Department of Thoracic & cardiovascular Surgery, Medical College of Inha University) ;
  • Kim, Jung-Taek (Department of Thoracic & cardiovascular Surgery, Medical College of Inha University) ;
  • Kim, Kwang-Ho (Department of Thoracic & cardiovascular Surgery, Medical College of Inha University) ;
  • Lee, Choong-Jae (Department of Plastic Surgery, Medical College of Inha University) ;
  • Kim, Young-Mo (Department of Otolaryngology, Medical College of Inha University) ;
  • Lim, Hyun-Kyoung (Department of Anesthesiology, Medical College of Inha University)
  • 선경 (인하대학교 흉부외과학교실) ;
  • 김정택 (인하대학교 흉부외과학교실) ;
  • 김광호 (인하대학교 흉부외과학교실) ;
  • 이충재 (인하대학교 성형외과학교실) ;
  • 김영모 (인하대학교 이비인후과학교실) ;
  • 임현경 (인하대학교 마취과학교실)
  • Published : 1998.06.01
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Abstract

Partial splitting of the upper sternum provides an excellent surgical view in reconstruction of the intrathoracic trachea. However, when deep-seated mediastinitis develops postoperatively, it is difficult to manage especially when combined with sternal osteomyelitis. It also needs an additional consideration compared to the usual treatment modality applied to mediastinitis following a standard median stemotomy because the lower part of the stemum remains intact. We treated a 50 year old female patient with deep-seated mediastinitis and sternal osteomyelitis following resection and end-to-end anastomosis of the trachea through an upper midline sternotomy. The patient underwent extensive stemectomy, omental free grafting, and pectoral myocutaneous flap. Postoperative viability of the free-grafted omentum was evaluated by angiography and CT scan.

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