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후두 전적출술 후 발생한 인두피부누공에 대한 임상적 고찰

Clinical Analysis Of Pharyngocutaneous Fistula After Total Laryngectomy

김진환|김창훈|안회영|정철훈|노영수|진재원
대한이비인후과학회 (Korean Society of Otorhinolaryngology-Head and Neck Surgery)|2007.11|대한이비인후과학회지 두경부외과학 (Korean Journal of Otorhinolaryngology-Head and Neck Surgery)|제50권 제11호|pp. 1023-1029

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참고문헌

키워드

인두피부누공·예후인자.Pharyngocutaneous fistula· Predisposing factors.
주제분류이비인후과학

초록

Abstract

：Pharyngocutaneous fistula after total laryngectomy is one of the most comon complication in the immediate postoperative period. The objective of this study is to evaluate the variable predisposing factors after total laryngectomy and to investigate the management of pharyngocutaneous fistula. Subjects and Method：One hundred fifty cases who had been performed total laryngectomy were investigated retrospectively. Fifteen of 150 cases (10.0%) developed pha-ryngocutaneous fistula after total laryngectomy. We analyzed clinical parameters such as age, sex, smoking, alcohol intake, DM (diabetes mellitus), hypertension, liver disease, postoperative hemoglobin, albumin etc. Results：Smoking, DM, hypertension, postoperative hemoglobin, postoperative albumin were significant factors asociated with pharyngocutaneous fistula. Nine myocutaneous flap. The average duration of oral feeding was 30 postoperative days in conservative treatment group and 83 postoperative days in surgical intervention group. Conclusion：Pharyngocutaneous fistula may be preventable by correcting the predisposing factors. We must consider the initial size of fistula and the response of conservative treatment to determine me-thodology and timing of surgical management. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :1023-9)

참고문헌 (21)

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