Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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A Case of Mediastinal Dissection for Tracheostomal Recurrence after Total Laryngectomy

후두 전적출술 후 기관루 재발에 대한 종격동 청소술 치험 1례

  • Lee, Seung Hwan (Department of Otolaryngology-Head and Neck Surgery College of Medicine, Hanyang University) ;
  • Tae, Kyung (Department of Otolaryngology-Head and Neck Surgery College of Medicine, Hanyang University) ;
  • Yu, Yean-Hee (Department of Otolaryngology-Head and Neck Surgery College of Medicine, Hanyang University) ;
  • Choi, Joon-Suk (Department of Otolaryngology-Head and Neck Surgery College of Medicine, Hanyang University)
  • 이승환 (한양대학교 의과대학 이비인후과학교실) ;
  • 태경 (한양대학교 의과대학 이비인후과학교실) ;
  • 유연희 (한양대학교 의과대학 이비인후과학교실) ;
  • 최준석 (한양대학교 의과대학 이비인후과학교실)
  • Published : 1999.06.01
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Abstract

Sternal recurrence has been defined as a diffuse infiltrate of neoplastic tissue at the junction of the amputated trachea and the skin. The overall prognosis is poor, resulting from progressive tracheostomal obstruction or massive hemorrhage due to erosion of major vessels. Neither radiation therapy nor chemotherapy has demonstrated any efficacy in controlling these sternal recurrence. Surgery, especially mediastinal dissection, may benefit only an occasional patient. Recently authors experienced one case of mediastinal dissection for sternal recurrence after total laryngectomy for laryngeal cancer. We report our case with a brief review of literature.

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