Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

흉쇄유돌근 회전 피판을 이용한 상윤상부분후두절제술 후 창상감염의 치료 1예

고재범1, 김서빈1, 김영준1, 이형신1,*
Jae Beom Ko1, Seo Bin Kim1, Yeong joon Kim1, Hyoung Shin Lee1,*
1고신대학교 의과대학 이비인후과학교실
1Department of Otolaryngology Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea
*교신저자: 이형신, 49267 부산광역시 서구 감천로 262 고신대학교 의과대학 이비인후과학교실 전화 :(051) 990-6470·전송 :(051) 245-8539 E-mail:sego78@hanmail.net

© Copyright 2017 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 25, 2017; Revised: Nov 10, 2017; Accepted: Nov 28, 2017

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 후두암; 후두절제술; 감염; 합병증; 흉쇄유돌근
Keywords: Laryngeal cancer; Laryngectomy; Infection; Complications; Sternocleidomastoid muscle