섬 형태의 삼각흉근 피판을 이용한 거대 기관피부 누공 폐쇄술
Closure of Large Tracheocutaneous Fistula With Island Deltopectoral Flap
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초록
Tracheocutaneous fistula (TCF) formation is a complication of long-term tracheostomy use. Surgical closure is necessary for a persistent TCF because this can lead to various complica-tions. Herein, we describe our use of an island deltopectoral (DP) flap to treat a large TCF. A62-year-old male, who had previously undergone supraglottic partial laryngectomy with laserand radiation therapy, presented with a second recurrence of supraglottic cancer. Supracricoidpartial laryngectomy and cricohyoidoepiglottopexy (CHEP) were performed. Afterward, alarge TCF measuring about 2.0×2.5 cm developed. The island DP flap facilitated successfulTCF closure. There have been no recurrences or complications, and both the reconstruction siteand donor site are well-maintained after 25 months of follow-up. The island DP flap can be auseful option for large TCF closure, even for patients who have had previous radiation therapy.
Abstract
Tracheocutaneous fistula (TCF) formation is a complication of long-term tracheostomy use. Surgical closure is necessary for a persistent TCF because this can lead to various complica-tions. Herein, we describe our use of an island deltopectoral (DP) flap to treat a large TCF. A62-year-old male, who had previously undergone supraglottic partial laryngectomy with laserand radiation therapy, presented with a second recurrence of supraglottic cancer. Supracricoidpartial laryngectomy and cricohyoidoepiglottopexy (CHEP) were performed. Afterward, alarge TCF measuring about 2.0×2.5 cm developed. The island DP flap facilitated successfulTCF closure. There have been no recurrences or complications, and both the reconstruction siteand donor site are well-maintained after 25 months of follow-up. The island DP flap can be auseful option for large TCF closure, even for patients who have had previous radiation therapy.
참고문헌 (15)
- Berenholz LP, "Management of tracheocutaneous fistula", Arch Otolaryngol Head Neck Surg, 118(8), pp.869~871 (1992)
- Delaney A, "Percutaneous dilatational tracheostomy versus surgical tracheostomy in critically ill patients : a systematic review and meta-analysis", Crit Care, 10(2), pp.R55~ (2006)
- Von Wihl S, "Surgery for severe aspirations", Rev Med Suisse, 8(356), pp.1854~1858 (2012)
- Osborn AJ, "Tracheocutaneous fistula closure in the pediatric population : should secondary closure be the standard of care?", Otolaryngol Head Neck Surg, 149(5), pp.766~771 (2013)
- Khatri R, "Management of tracheocutaneous fistula", Indian J Otolaryngol Head Neck Surg, 53(2), pp.158~159 (2001)
- Stanton DC, "Management of posttracheotomy scars and persistent tracheocutaneous fistulas with dermal interpositional fat graft", J Oral Maxillofac Surg, 62(4), pp.514~517 (2004)
- Stern Y, "Management of persistent tracheocutaneous fistula in the pediatric age group", Ann Otol Rhinol Laryngol, 108(9), pp.880~883 (1999)
- White AK, "Treatment of tracheocutaneous fistulae in children", J Otolaryngol, 18(1), pp.49~52 (1989)
- Royer AK, "The use of a prefabricated radial forearm free flap for closure of a large tracheocutaneous fistula : a case report and review of the literature", J Med Case Rep, 9, pp.251~ (2015)
- Schroeder JW Jr, "Primary closure of persistent tracheocutaneous fistula in pediatric patients", J Pediatr Surg, 43(10), pp.1786~1790 (2008)
- Aljehani MJ, "Tracheocutaneous fistula after tracheostomy : spotlight on a closure technique with a high success rate", Cureus, 15(5), pp.e39462~ (2023)
- Lee BJ, "Closure of large tracheocutaneous fistula using turn-over hinge flap and V-Y advancement flap", J Laryngol Otol, 116(8), pp.627~629 (2002)
- Riedel F, "Management of radiation-induced tracheocutaneous tissue defects by transplantation of an ear cartilage graft and deltopectoral flap", Auris Nasus Larynx, 33(1), pp.79~84 (2006)
- Chirakkal P, "Tracheocutaneous fistula-a surgical challenge", Clin Case Rep, 9(3), pp.1771~1773 (2021)
- Li HH, "Large tracheocutaneous fistula successfully treated with bronchoscopic intervention and flap grafting : a case report and literature review", Front Med(Lausanne), 7, pp.278~ (2020)