대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제20권1호
  • /
  • Pages.58-61
  • /
  • 2004
  • /
  • 1229-5183(pISSN)
  • /
  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

갑상선 전절제술 및 종격동 청소술 시행 후 발생한 기관 괴사 치험 1예

A Case of Tracheal Necrosis after Total Thyroidectomy and Mediastinal Dissection

  • 노영수 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김진환 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 한동혁 (한림대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김응중 (한림대학교 의과대학 흉부외과학교실) ;
  • 정철훈 (한림대학교 의과대학 성형외과학교실)
  • Rho Young-Soo (Department of Otorhinolaryngology, College of Medicine, Hallym University) ;
  • Kim Jin-Hwan (Department of Otorhinolaryngology, College of Medicine, Hallym University) ;
  • Han Dong-Hyuk (Department of Otorhinolaryngology, College of Medicine, Hallym University) ;
  • Kim Eung-Jung (Department of Chest Surgery, College of Medicine, Hallym University) ;
  • Jung Chul-Hoon (Department of Plastic Surgery, College of Medicine, Hallym University)
  • 발행 : 2004.05.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Lymph node metastasis of thyroid cancer occurs to anterior compartment (level VI) and superior mediastinal lymph node (Level VII). In lateral neck, it occurs commonly in middle and lower jugular lymph node (level III, IV). And it can also metastasis to posterior neck lymph node (level V). Superior mediastinal lymph node metastasis of thyroid cancer requires superior mediastinal dissection with massive removal of peritracheal and periesophageal soft tissue. After superior mediastinal dissection, severe complication may occurs such as innominate artery rupture and tracheal necrosis. We describe a case of tracheal necrosis as a complication of superior mediastinal dissection and total thyroidectomy in thyroid cancer patient.

키워드

참고문헌

  1. Gerbe SKG, Hay ID : Thyroid nodal metastases, biologic significance and therapeutic considerations. Surg Oncol Clin North Am. 1996 ; 5 : 43-46
  2. Maillard AAJ, Kountakis SE, Stiernberg CM : Superior mediastinal dissection in the treatment of Hurthle cell carcinoma of the thyroid. Am Jour Otolaryngol. 1997 ; 18 : 47-50. https://doi.org/10.1016/S0196-0709(97)90048-X
  3. Golder A, Rice LL, Jackson S, Young EM : Tracheal necrosis after thyroidectomy. Can J Surg. 2002 ; 45 (6) : 463-446
  4. Meurala H, Halttunen P, Standertskjold-NordenstamC, Keskitalo E : Surgical support of collapsing intrathoracic tracheomalacia after thyroidectomy. Acta Chir Scand. 1989 ; 148 : 127-129
  5. Grio H : Surgery of trachea. Curr Probl Surg, 1970 ; 3-59
  6. Edward WH, Tsang WM, Williams MD, Lai EC, Chan M : Tracheal necrosis and surgical emphysema : A rare complication of thyraidectomy. Ear, Nose Throat J. 2002 ; 81 (10) : 738-741
  7. Abbey N, Green D, Cicale M : Massive tracheal necrosis complicating endotracheal intubation. Chest. 1989 ; 95 : 459-460 https://doi.org/10.1378/chest.95.2.459
  8. Yoshitaka T, Hiro OO, Ken K, Seiji K : Late laryngo-tracheal necrosis with external fistula 44 years after radiotherapy. J Laryngol Otol. 2003 ;117 (8) : 658-659
  9. Thomas VM, Richard JL : Thyroid carcinoma invading the upper aeradigestive system. Laryngoscope. 1990 ; 100 : 824-830
  10. Jose IT, Lawrence DW, Roger EK, Peter B, James PN, Walter L : Result of extended resection of tumors involving the cervical part of the trachea. Surg Gynecol Obstet. 1980 ; 151 (4) : 491-496