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성문상 부분 후두절제술 후 인후두의 봉합방법에 따른 술후기능과 합병증에 관한 고찰

Other Titles
 Pharyngolaryngeal Closure after Supraglottic Partial Laryngectomy 
Authors
 최은창  ;  최홍식  ;  김영호  ;  김세헌  ;  고윤우  ;  박헌이 
Citation
 Korean Journal of Otolaryngology (대한이비인후과학회지), Vol.43(3) : 312-317, 2000 
Journal Title
 Korean Journal of Otolaryngology (대한이비인후과학회지) 
ISSN
 1225-035X 
Issue Date
2000
Keywords
Supraglottic partial laryngectomy ; Pharyngolaryngeal closure ; Fistula ; Aspiration pneumonia ; Oral feeding
Abstract
BACKGROUND AND OBJECTIVES:Although the various methods of pharyngolaryngeal closure after supraglottic partial laryngectomy(SPL) have been reported, the difference of postoperative function and complications has not been adequately analyzed. Therefore, We investigated the relationship between different pharyngolaryngeal closure methods and postoperative function and complications. PATIENTS AND METHODS: According to the methods of pharyngolaryngeal closure, postoperative complications, decannulation day and postoperative day when to start oral feeding were retrospectively investigated on 22 patients who underwent SPL. We divided the patients into two groups according to the methods of pharyngolaryngeal closure. In cartilage group(13 cases), the closure of pharyngolaryngeal defect was done with direct suture between the thyroid cartilage and base of the tongue. In perichondrial group(9 cases), the closure was done between preserved thyroid perichondrium and base of the tongue. RESULTS: There was no case requiring either a gastrostomy or a persistent tube feeding in our series. Fistula occurred more often in perichodrial group(3 cases) than cartilage group(0 case). In one case of perichondrial group, total laryngectomy was performed because of a fistula. Also, aspiration pneumonia occurred more often in perichodrial group(2 cases) than cartilage group(0 case). Decannulation could be performed relatively earlier in cartilage group than in perichondrial group. Also, oral feeding could be performed relatively earlier in cartilage group than in perichondrial group. CONCLUSION: Direct approximation between cut margin of the thyroid cartilage and base of tongue was safe, time-saving and reliable method of pharyngolaryngeal closure after SPL.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Se Heon(김세헌)
Choi, Hong Shik(최홍식)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171779
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