• 제목/요약/키워드: Fistula

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우측 전페절제술후 발생한 기관지늑막루의 Transsternal transpericardial approach를 이용한 폐쇄치료 -1예보고- (Closure of Chronic Postpneumonectomy Bronchopleural Fistula using the Transsternal Transpericardial Approach -A case report-)

  • 김동관;이두연;정경영
    • Journal of Chest Surgery
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    • 제23권3호
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    • pp.566-571
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    • 1990
  • The Bronchial stump disruption in bronchopleural fistula with empyema thoracis after pneumonectomy has remained one of the most dreaded complications of thoracic surgery. Management of chronic bronchopleural fistula still poses a therapeutic dilemma in spite of various surgical techniques that have been attempted to control this complication. Only recently, transsternal transpericardial approach for repair of the postpneumonectomy bronchopleural fistula has been utilized in some cases. The patient was a 31 year-old woman who was admitted to our hospital on August 18th, 1989 due to right postpneumonectomy bronchopleural fistula with empyema thoracis for 5 years since she had undergone right pneumonectomy due to pulmonary tuberculosis at E-hospital in 1984. Transsternal transpericardial closure of the fistula was employed and then the thoracic catheter was removed two months later, after the empyema cavity was sterilized by the Clagett method. So, we think this surgical technique is a relatively simple and effective method to the control of chronic postpneumonectomy bronchopleural fistula with empyema thoracis.

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Oronasal fistula reconstruction using tongue flap with simultaneous iliac bone graft: a case report

  • Da Som Kim;Yi Jun Moon;Ho Jin Park;Seung-Ha Park
    • 대한두개안면성형외과학회지
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    • 제24권6호
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    • pp.284-287
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    • 2023
  • The ultimate goal of cleft palate repair is to achieve an intact palate with the separation of the oral and nasal cavities. However, some patients develop an oronasal fistula in the secondary palate after palatoplasty. Postoperatively, a secondary palatal oronasal fistula may develop, leading to functional problems. In this study, we describe a patient with recurrent oronasal fistula and alveolar cleft with multiple failed previous reconstructions at another clinic. The oronasal fistula and alveolar cleft were repaired using a tongue flap and an iliac bone graft, respectively. The patient demonstrated excellent clinical progress with no recurrence of the oronasal fistula at the 1-year follow-up.

상악동 점막 천공부위로의 치아이식 (Autotransplantation of tooth into the oroantral fistula site after extraction)

  • 김영운
    • 대한치과의사협회지
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    • 제41권7호통권410호
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    • pp.504-508
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    • 2003
  • This report demonstrates a case of tooth autotransplantation into the oroantral fistula site after extraction. Oroantral fistula can be developed when maxillary molar or premolar is extracted in case the root of tooth closed to or inside maxillary sinus. In most of cases, this would heal spontaneously without any interventions. Sometimes, many procedures including flap closure would be used judging from perforating size and previous inflammation. Although fistula size of this case is not that large, closure with tooth autotransplanted has successfully accomplished. So this report will discuss about several clinical aspects.

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Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia

  • Baltsavias, Gerasimos;Argyrakis, Nikolaos;Matis, Georgios K.;Mpata-Tshibemba, Stephanie
    • Journal of Korean Neurosurgical Society
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    • 제55권2호
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    • pp.106-109
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    • 2014
  • A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The digital subtraction angiography demonstrated a single-hole fistula, involving the anterior spinal artery and vein. The lesion was occluded by embolization with immediate improvement. The potential mechanism is discussed.

기관지늑막루를 동반한 농흉의 외과적 치료-3 치험례- (Surgical treatment of postpneumonectomy empyema associated with bronchopleural fistula; A report of Three cases)

  • 김용진;김현순;서경필
    • Journal of Chest Surgery
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    • 제15권3호
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    • pp.295-298
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    • 1982
  • Persistent bronchopleural fistula still presents a troublesome therapeutic challenge and demands an aggressive approach when conventional measures fail. Empyema associated bronchopleural fistula developed after resectional surgery and their primary diseases were lung abscess in one case, bronchiectasis in two cases. Three cases of postpneumonectomy empyema associated bronchopleural fistula were treated surgically with a pedicled intercostal muscle grafting and concomittent thoracoplasty. After the procedure, patients had no recurrent symptoms or signs of bronchopleural fistula and discharged from hospital with improved condition.

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천성 식도-기관지루의 외과적 교정 1례 (Surgical Repair of Acquired Esophagobronchial Fistula - Report of one case -)

  • 병순후
    • Journal of Chest Surgery
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    • 제21권3호
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    • pp.526-530
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    • 1988
  • Acquired communicated fistula between the esophagus and respiratory system are infrequent and they are caused by carcinoma, trauma, infection and traction. This report reviews the feature of acquired esophagobronchial fistula[that developed spontaneously]. Patient is 34 year old man with excellent result by surgical intervention. The surgical procedures consist of division and repair of the fistula. Clinically and radiologically, the patient is free from coughing after drinking, substernal distress, esophagorespiratory fistula, and esophageal stricture after surgical treatment.

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선천성 관상동맥루의 외과적 치험 -2례 보고- (Surgical Correction of Congenital Coronary Arteriovenous Fistula)

  • 박승준;이영탁
    • Journal of Chest Surgery
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    • 제28권2호
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    • pp.180-182
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    • 1995
  • Congenital coronary arteriovenous fistulas are uncommon, but well documented lesions. There are two types of congenital coronary arteriovenous fistulas according to drainage sites, the cardiac chambers or the pulmonary trunk. Especially congenital coronary arteriovenous fistula originating from the left coronary artery is rare. Two cases will be described of the two patients in whom fistulas communicating between the right coronary artery and the right atrium, left coronary artery and the main pulmonary artery each other.

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Acute Postpneumonectomy Empyema with Bronchopleural Fistula Treated with Vacuum-assisted Closure Device

  • Han, Woo-Sik;Kim, Kwhan-Mien
    • Journal of Chest Surgery
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    • 제45권4호
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    • pp.260-262
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    • 2012
  • Postpneumonectomy empyema is a life-threatening complication, which is often related with a bronchopleural fistula. After surgical repair of fistula, sterilization of infected pleural cavity is important and usually carried out by long-term cyclic irrigation. We report a case in which vacuum-assisted closure device was successfully applied to sterilize the pleural cavity and obliterate bronchopleural fistula.

흉부둔상에 의한 기관식도루의 치험 1례 (A Large T-E Fistula Following Blunt Chest Trauma -A Case Report-)

  • 김보영
    • Journal of Chest Surgery
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    • 제27권1호
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    • pp.68-71
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    • 1994
  • A tracheo-esophageal fistula following from blunt chest trauma is one of less common lesion and few guidelines are available to direct its optimal management. Herein, we report a 24-year-old man injured in a motor vehicular accident sustained a nonpenetrating double blowout injury of the thorax and large tracheoesophageal fistula occurred. Tracheal defect required resection and reconstruction, of which the membranous portion underwent closure with borrowed adjacent esophageal wall primarily and substernal left colon interposition was performed 4 weeks later.

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심장압전을 동반한 식도 심낭루: 수술치험 1례 (Esophagopericardial Fistula with Cardiac Tamponade - A Case Report)

  • 이상진
    • Journal of Chest Surgery
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    • 제25권5호
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    • pp.562-565
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    • 1992
  • We experienced a case of esophago-pericardial fistula with cardiac tamponade which was treated successfully by pericardial drainage, closure of the fistula and adequate antibiotic therapy. Esophago-pericardial fistula is rare, often fatal and a demanding surgical emergency. We report a case with review of literatures.

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