두경부암 결손 부위 재건 후 발생한 재건 피판 합병증 치료를 위한 의료용 거머리의 사용

최재혁; 김은혜; 최나연; 백정환; 정만기

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자료유형: 학술저널

저자정보: 최재혁 김은혜 최나연 백정환 정만기

저널정보: 대한이비인후과학회 부산,울산,경남 지부회 임상이비인후과 임상이비인후과 제31권 제1호

발행연도: 2020.1

수록면: 51 - 56 (6page)

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연구주제

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연구배경

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연구방법

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연구결과

초록· 키워드

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Background and Objectives: The purpose of this study was to present our institutional experiences with medicinal leech application for the treatment of venous congestion in various reconstructive flaps for head and neck defects after cancer surgery. Materials and Methods: We retrospectively enrolled 24 patients (8 extraoral, 16 intraoral flaps) who underwent the leech therapy for head and neck flap salvage (11 locoregional, 13 free flaps). We safely applied the leech in a syringe at congested flap site. Clinical data including sex, age, primary site, and types of flaps were investigated. The number of leeches, complications, and outcomes were assessed. Results: The leech was applied mean 1.4 days after reconstructive surgery, and mean 1.8 leeches were used per a day. Duration of leech therapy was mean 3.1 days. Of 24 cases, the entire flap was successfully salvaged in 14 (58.3%) cases, partial necrosis of flap was found in 8 (33.3%) and total necrosis in 2 (8.3%). One patient had esophagogastroscopy for swallowing of leech and 11 patients required transfusion because of anemia. Conclusions: Leech therapy could be effectively performed for both intraoral and extraoral congested head and neck flaps.

#LeechingㆍHead and neck neoplasmㆍSurgical flaps.

참고문헌 (13)

참고문헌 신청

Cuneyt K / 2016 / Management of complications and compromised free flaps following major head and neck surgery / Eur Arch Otorhinolaryngol 273(1):209~213

Irish JC / 2000 / Medicianl Leech in head and neck reconstruction / Journal of Otolaryngology 29(5):327~332

Pohlenz P / 2012 / Microvascular free flaps in head and neck surgery : complications and outcome of 1000 flaps / Int J Oral Maxillofac Surg 41(6):739~743

Koch CA / 2012 / Use of the medicinal leech for salvage of venous congested microvascular free flaps of the head and neck / American Journal of Otolaryngology 33(1):26~30

Sungh A / 2010 / Medicinal leech therapy(hirudotherapy) : a brief overview / Complementary Complement Ther Clin Pract 16(4):213~215

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