흉쇄유돌근 회전 피판을 이용한 상윤상부분후두절제술 후 창상감염의 치료 1예

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. (J Clinical Otolaryngol 2017;28:311-315)