대한기관식도과학회지 (Korean Journal of Bronchoesophagology)

대한기관식도과학회 (The Korean Bronchoesophagological Society)
권호 표지

전후두절제술로 치료한 기관식도루 1예

A Case of Tracheoesophageal Fistula Treated by Total Laryngectomy

  • 유신혁 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 이창욱 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 이윤세 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 최승호 (울산대학교 의과대학 서울아산병원 이비인후과학교실)
  • Yoo, Shin-Hyuk (Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine,) ;
  • Lee, Chang Wook (Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine,) ;
  • Lee, Yoon Se (Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine,) ;
  • Choi, Seung-Ho (Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine,)
  • 투고 : 2013.06.04
  • 심사 : 2013.06.10
  • 발행 : 2013.06.30
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초록

A 47-year-old man was referred for TEF. He underwent tracheostomy three months ago to maintain prolonged ventilator care. Computed tomography (CT) scan and fiberoptic examination showed bilateral vocal cord palsy with median fixation and about 2 inch sized long segmental tracheoesophageal fistula (TEF) tract along the necrotic cricoid and tracheal cartilages. Narrow field total laryngectomy was performed to remove devitalized cartilages and mucosa, and repair TEF. He discharged without complication except mild stenotic change of tracheal fenestration 19 days later.

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