대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제37권1호
  • /
  • Pages.63-66
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  • 2021
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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피부이식과 흉쇄유돌근 피판을 이용한 기관 결손의 재건 1례

Reconstruction of Tracheal Defect by Sternocleidomastoid Muscle Flap Covered with Skin Graft: A Case Report

  • 장수경 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 서강현 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 최선 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 박석현 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 김진환 (한림대학교 강남성심병원 이비인후과학교실) ;
  • 이동진 (한림대학교 강남성심병원 이비인후과학교실)
  • Jang, Soo Kyung (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Seo, Gang Hyeon (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Choi, Sun (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Seok Hyun (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Jin Hwan (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Dong Jin (Department of Otolaryngology-Head and Neck surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2021.03.04
  • 심사 : 2021.03.30
  • 발행 : 2021.05.31
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초록

Supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) or cricohyoidopexy (CHP) involves the removal of the whole thyroid cartilage, both true and false vocal cords, the ventricles, and the paraglottic spaces, sparing the cricoid cartilage, hyoid bone, and at least one functional and mobile cricoarytenoid unit. Reconstruction is performed by suturing of the cricoid cartilage up tightly to the hyoid bone, so trachea-releasing procedures are needed to prevent leakage at anastomosis site. In case of advanced tranglottic cancer invading tracheal tracheal wall, we need to perform additional circumferentrial circumferential tracheal wall resection. However, when we perform SCPL, circumferential resection of tracheal wall is limited because SCPL procedure itself needs releasing of tracheal length. We report a case of advanced transglottic cancer involving tracheal wall treated with induction chemotherapy and SCPL including tracheal wall resection with reconstruction of tracheal defect by sternocleidomastoid muscle flap covered with skin graft.

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참고문헌

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