흉쇄유돌근 회전 피판을 이용한 상윤상부분후두절제술 후창상감염의 치료 1예 (A Case of Wound Infection after Supracricoid Partial Laryngectomy (SCPL) with Cricohyoidoepiglottopexy (CHEP) Treated with Sternocleidomastiod (SCM) Muscle Rotation Flap)

서지정보

· 발행기관 : 대한이비인후과학회 부산,울산,경남 지부회
· 수록지 정보 : 임상이비인후과 / 28권 / 2호 / 311 ~ 315페이지
· 저자명 : 고재범, 김서빈, 김영준, 이형신

초록

A 56-year-old man visited our clinic with hoarseness and dyspnea. On the laryngoscopy, an unclear tumor was observed in the right vocal cord. We performed a biopsy of the tumor site. And tracheostomy was performed for smooth breathing. Biopsy revealed verrucous carcinoma of the vocal cord. The tracheostomy site was located between the cricoid cartilage and 1st tracheal ring. We overlooked an infection of the site (cricoid cartilage). Supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) was performed. After 5 days, wound infection occurred. After debridement of infective tissue, revision CHEP and Sternocleidomastoid muscle rotation flap were performed for protection and sufficient supply of blood flow to the infection site. In this case, we would like to emphasize that highly located tracheostomy may have wound infection at the SCPL site (cricoid cartilage) and that if the infection occurs, early exploration and SCM rotation flap may be helpful in handling postoperative infection of the site and preserving the organ without salvage total laryngectomy.

영어초록

A 56-year-old man visited our clinic with hoarseness and dyspnea. On the laryngoscopy, an unclear tumor was observed in the right vocal cord. We performed a biopsy of the tumor site. And tracheostomy was performed for smooth breathing. Biopsy revealed verrucous carcinoma of the vocal cord. The tracheostomy site was located between the cricoid cartilage and 1st tracheal ring. We overlooked an infection of the site (cricoid cartilage). Supracricoid partial laryngectomy (SCPL) with cricohyoidoepiglottopexy (CHEP) was performed. After 5 days, wound infection occurred. After debridement of infective tissue, revision CHEP and Sternocleidomastoid muscle rotation flap were performed for protection and sufficient supply of blood flow to the infection site. In this case, we would like to emphasize that highly located tracheostomy may have wound infection at the SCPL site (cricoid cartilage) and that if the infection occurs, early exploration and SCM rotation flap may be helpful in handling postoperative infection of the site and preserving the organ without salvage total laryngectomy.

참고자료

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