Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Pharyngeal Fistula Causing Excessive Bleeding after Laryngopharyngectomy and Pharyngeal Reconstruction

후두인두절제술 및 인두재건 후 다량의 출혈을 야기한 인두누공

  • Kim, Seung Beom (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School Hwasun Hospital) ;
  • Jin, Seong Min (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School Hwasun Hospital) ;
  • Kang, Sung Hoon (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School Hwasun Hospital) ;
  • Lee, Joon Kyoo (Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School Hwasun Hospital)
  • 김승범 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실) ;
  • 진성민 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실) ;
  • 강성훈 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실) ;
  • 이준규 (전남대학교 의과대학 화순전남대학교병원 이비인후과학교실)
  • Received : 2017.02.03
  • Accepted : 2017.05.02
  • Published : 2017.05.30
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Abstract

Pharyngocutaneous fistula is one of the most common wound complications after total laryngectomy. The leakage of saliva may cause an erosion of greater vessels nearby and result in a life-threatening bleeding. 65-year-old male received laryngectomy and pharyngectomy followed by Latissimus dorsi flap reconstruction due to recurred laryngeal cancer with oropharyngeal extension after postoperative radiotherapy. Pharyngeal fistula was developed and an excessive fresh blood flowed through the oral and nasal cavity. The patient was transferred to the operating room immediately, and the causing artery was ligated. The rupture of the common carotid artery and its branches should be warned when the pharyngocutaneous fistula is developed. Prompt and proper therapy must be performed for the patients with impending or acute hemorrhage.

Keywords

References

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