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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
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/142397
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
김학선(Kim, Hak Sun)
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