대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제26권1호
  • /
  • Pages.27-29
  • /
  • 2010
  • /
  • 1229-5183(pISSN)
  • /
  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

변형된 Fish-Mouth Technique을 이용한 새로운 기관공성형술식

Management of Tracheostomal Stenosis : Modified Fish-Mouth Technique

  • 백승재 (관동대학교 의과대학 명지병원 이비인후과학교실) ;
  • 임재열 (인하대학교 의과대학 이비인후과학교실) ;
  • 홍현준 (연세대학교 의과대학 이비인후과학교실) ;
  • 최홍식 (연세대학교 의과대학 이비인후과학교실)
  • Baek, Seung-Jae (Department of Otorhinolaryngology, College of Medicine Kwan Dong University, Myungji Hospital) ;
  • Lim, Jae-Yol (Department of Otorhinolaryngology, College of Medicine Inha University) ;
  • Hong, Hyun-Jun (Department of Otorhinolaryngology, Yonsei University College of Medicine) ;
  • Choi, Hong-Shik (Department of Otorhinolaryngology, Yonsei University College of Medicine)
  • 발행 : 2010.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Tracheostomal stenosis after total laryngectomy is brothersome problem to surgeon and patient. To prevent tracheostomal stenosis, tension around the tracheostoma must be released. Advancement flap, V-Y inset and Z-plasty were suggested as solution to tracheostomal stenosis. But such methods need elevation of superior flap and it is very difficult when the patients received radiotherapy and has high change of developing pharyngocutaneous fistula. We suggested new stomaplasty technique which named "Modified Fish-Mouth Technique" that does not need to elevate superior skin flap.

키워드

참고문헌

  1. Stell PM. The first laryngectomy. Journal of Laryngology & Otology. 1975;89(4):353-358. https://doi.org/10.1017/S0022215100080488
  2. Wax MK, Touma BJ, Ramadan HH. Tracheostomal stenosis after laryngectomy: Incidence and predisposing factors. Otolaryngology- Head & Neck Surgery. 1995;113(3):242-247. https://doi.org/10.1016/S0194-5998(95)70112-5
  3. Montgomery WW. Stenosis of tracheosroma. Arch Otolaryngol. 1962;75:76-79.
  4. Balle VH, Bretlau P. Tracheostomal stenosis following total laryngectomy. Journal of Laryngology & Otology. 1985;99(6): 577-580. https://doi.org/10.1017/S0022215100097279
  5. Wax MK, Touma BJ, Ramadan HH. Management of tracheostomal stenosis. Laryngoscope. 1999;109(9):1397-1401. https://doi.org/10.1097/00005537-199909000-00006
  6. Giacomarra V, Russolo M, Tirelli G, Bonini P. Surgical treatment of tracheostomal stenosis. Laryngoscope. 2001;111(7):1281-1294. https://doi.org/10.1097/00005537-200107000-00026
  7. Oysu C, Kulekci M, Sahin AA. An unusual complication of tracheostomal stenosis: Fractured tracheostomy tube in the tracheobronchial tree. Otolaryngology-Head & Neck Surgery. 2002;127 (1):122-123. https://doi.org/10.1067/mhn.2002.124853
  8. Griffith GR, Luce EA. Tracheal stomal stenosis after laryngectomy. Plastic & Reconstructive Surgery. 1982;70(6):694-698. https://doi.org/10.1097/00006534-198212000-00006