후두 전적출술 후 발생한 인두피부누공에 대한 임상적 고찰

노영수; 김창훈; 진재원; 김진환; 안회영; 정철훈

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자료유형: 학술저널

저자정보: 노영수 김창훈 진재원 김진환 안회영 정철훈

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제11호

발행연도: 2007.1

수록면: 1,023 - 1,029 (7page)

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연구배경

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연구방법

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연구결과

초록· 키워드

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：Pharyngocutaneous fistula after total laryngectomy is one of the most comon complication in the immediate postoperative period. The objective of this study is to evaluate the variable predisposing factors after total laryngectomy and to investigate the management of pharyngocutaneous fistula. Subjects and Method：One hundred fifty cases who had been performed total laryngectomy were investigated retrospectively. Fifteen of 150 cases (10.0%) developed pha-ryngocutaneous fistula after total laryngectomy. We analyzed clinical parameters such as age, sex, smoking, alcohol intake, DM (diabetes mellitus), hypertension, liver disease, postoperative hemoglobin, albumin etc. Results：Smoking, DM, hypertension, postoperative hemoglobin, postoperative albumin were significant factors asociated with pharyngocutaneous fistula. Nine myocutaneous flap. The average duration of oral feeding was 30 postoperative days in conservative treatment group and 83 postoperative days in surgical intervention group. Conclusion：Pharyngocutaneous fistula may be preventable by correcting the predisposing factors. We must consider the initial size of fistula and the response of conservative treatment to determine me-thodology and timing of surgical management. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :1023-9)

#인두피부누공·예후인자. #Pharyngocutaneous fistula· Predisposing factors.

참고문헌 (20)

참고문헌 신청

/ / Pharyn-gocutaneous fistula after total laryngectomy: Incidence, cause, and treatment

/ / Pharyngo-cutaneous fistula folowing total laryngectomy and post-operative

/ / Wolf GT. Surgery after organ preser-vation therapy. Analysis of wound complications. Arch Otolaryngol Head Neck Surg 1995 : 162 ~ 5

/ 19-23.8 / Jones AS. Radiotherapy and complications of laryn-gectomy. J Laryngol 1993 Kosma VM. The incidence and etiology of postlaryngectomy pharyn-gocutaneous fistula. He

/ 1995 / Post-laryngectomy pharyngo-cutaneous fistula-a stil unresolved problem 109 (3) : 221 ~ 224

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