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Subarachnoid–Pleural Fistulae—Management With a Transdiaphragmatic Pedicled Greater Omental Flap: Report of Two Cases

Authors
 John G. Heller  ;  Hak Sun Kim  ;  Grant W. Carlson 
Citation
 SPINE, Vol.26(16) : 1809-1813, 2001 
Journal Title
 SPINE 
ISSN
 0362-2436 
Issue Date
2001
MeSH
Dura Mater/injuries ; Female ; Humans ; Middle Aged ; Omentum/surgery* ; Pleura* ; Postoperative Complications/etiology ; Postoperative Complications/surgery* ; Respiratory Tract Fistula/etiology ; Respiratory Tract Fistula/surgery* ; Subarachnoid Space* ; Surgical Flaps* ; Surgical Procedures, Operative* ; Tomography, X-Ray Computed
Abstract
STUDY DESIGN: This report describes the treatment of chronic subarachnoid--pleural fistulae using a pedicled greater omentum transfer flap. OBJECTIVE: To describe a new technique for the management of chronic subarachnoid--pleural fistulae resulting from thoracic dural tears. SUMMARY OF BACKGROUND DATA: Thoracic dural tears with leakage of cerebral spinal fluid into the pleural space can occur after thoracic spine surgery. The treatment of chronic subarachnoid--pleural fistulae using an omental flap, however, has not been reported. METHODS: The clinical, radiographic, and surgical details of two cases are described. RESULTS: Pedicled greater omentum transferred to the thoracic spine was an effective method in the treatment of intractable thoracic dural tears for two patients. CONCLUSION: These cases demonstrate that pedicled greater omentum transferred to the thoracic spine can be a safe and effective technique for the management of intractable thoracic dural tears and their complications.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00007632-200108150-00018&LSLINK=80&D=ovft
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142397
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