Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Cerebrospinal Fluid Leakage Repair with Forearm Free Flap after Craniofacial Resection of Sinonasal Undifferentiated Carcinoma

비부비동 미분화암의 두개안면절제술 후 전완부자유피판을 이용한 뇌 척수액 유출 폐쇄 시행 1례

  • Song, Kee Jae (Department of Otorhinolaryngology-Head and Neck Surgery, Interntaional St. Mary's Hospital, Catholic Kwandong university College of Medicine) ;
  • Cho, Jin Mo (Department of Neurosurgery, Interntaional St. Mary's Hospital, Catholic Kwandong university College of Medicine) ;
  • Jung, Woon-Yong (Department of Pathology, Interntaional St. Mary's Hospital, Catholic Kwandong university College of Medicine) ;
  • Kim, Hoon (Department of Plastic and Reconstructive Surgery, Konyang University Hospital, Konyang University College of Medicine) ;
  • Hong, Hyun Jun (Department of Otorhinolaryngology-Head and Neck Surgery, Interntaional St. Mary's Hospital, Catholic Kwandong university College of Medicine)
  • 송기재 (가톨릭관동대학교 국제성모병원 이비인후-두경부외과학 교실) ;
  • 조진모 (가톨릭관동대학교 국제성모병원 신경외과학 교실) ;
  • 정운용 (가톨릭관동대학교 국제성모병원 병리학 교실) ;
  • 김훈 (건양대학교병원 성형외과학 교실) ;
  • 홍현준 (가톨릭관동대학교 국제성모병원 이비인후-두경부외과학 교실)
  • Received : 2016.11.05
  • Accepted : 2016.11.17
  • Published : 2016.11.30
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Abstract

A 37 year-old male presented with sudden right proptosis and bilateral nasal obstruction. A huge tumor was noted in bilateral nasal cavities, ethmoid sinuses and central frontal sinus on magnetic resonance imaging. Right posterior frontal sinus wall and bilateral medial orbital wall was destructed by the tumor. Complete resection of the tumor was performed via minimal invasive craniofacial resection. Histopaghologic examination revealed sinonasal undifferentiated carcinoma (SNUC). Cerebrospinal fluid leakage was developed after 2 days of the surgery. On the 5th day, anterior skull base was reconstructed with forearm free flap (FFF). The patient got 6000cGy of radiotherapy and survived in 27 months of follow up.

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