• Title/Summary/Keyword: Anterior mediastinal tracheotomy

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전종격동 기관절개술 이후에 발생한 무명동맥 파열 1예 (Rupture of Innominate Artery After the Anterior Mediastinal Tracheotomy : A Case Report)

  • 김승우;김춘동;김정민;사대진
    • 대한두경부종양학회지
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    • 제27권1호
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    • pp.92-95
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    • 2011
  • The anterior mediastinal tracheotomy(AMT) facilitates resection of stomal recurrence after total laryngectomy and tumors involving the cervicothoracic trachea and esophagus. An 81-year-old-man came to our clinic due to the progressive dyspnea during three months. He received the total laryngectomy five years ago. We diagnosed as Sisson type I stomal recurrence and then performed the wide excision, both selective neck dissection, sternal manubrium resection and AMT. Before surgery, we planned the pectoralis major myocutaneous flap. Unluckily we could not fulfill this procedure because of patient's medical status during anesthesia. The tracheocutaneous fistula was observed in the second postoperative day. He expired due to the huge bleeding from the wound. When AMT is performed, exact manipulation of major vessels and adequate flap are mandatory these elevate the feasibility of AMT.

구제수술에서 일측 복장뼈자루 절제를 통한 전종격동 기관절개술의 1례 (A Case of Creation of Mediastinal Tracheostoma with Unilateral Manubrial Resection as Salvage Operation)

  • 전석원;김창회;이해영;김성원
    • 대한두경부종양학회지
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    • 제32권2호
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    • pp.29-33
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    • 2016
  • A 65-year-old male visited hospital in the state of tracheostomal recurrence 1 year after total pharyngolaryngectomy. Extensive recurrence around stoma or paratracheal, superior mediastinal area is challenging in treatment, especially in securing airway. We performed mediastinal tracheotomy through resection of unilateral manubrium, some part of sternal side of clavicle and $1^{st}$ rib as the salvage operation for recurrent laryngeal cancer. This procedure could be risky, thus very careful patient selection is required because of a tortuous postoperative course. We would like to present the case that anterior mediastinal tracheostomy could be needed as appropriate palliative means of airway construction in the patients with recurrent laryngeal cancer with lower neck extension with literature review.