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KMID : 0361020230660010062
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 1 p.62 ~ p.65
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Pharyngeal Closure Reinforced With Sternohyoid and Omohyoid Muscle After Total Laryngectomy
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Park Keon-Woo
Jang Hye-Bin
Jung Eun-Kyung
Lee Joon-Kyoo
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Abstract
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Pharyngocutaneous fistula occurring after total laryngectomy is a bothersome complication asit can even cause a massive bleeding due to carotid artery rupture. Preoperative radiation, extensivediseases which need flap reconstruction, low albumin or hemoglobin level, history ofsmoking, or underlying diseases have been domestically reported to have a relationship withthe condition. To reduce this complication, simultaneous coverage for the pharyngeal closurehas been developed using flaps, such as the pectoralis major muscle, the radial forearm or theanterolateral thigh, which are distant from the radiation field. However, these methods needadditional surgical techniques and times. Another method advocated is pharyngeal reinforcementusing flaps that can be easily obtained from the same surgical field, such as the sternocleidomastoidor the infrahyoid muscle or the acellular dermal graft with relative significances.
Here we suggest reinforcement of pharyngeal closure after total laryngectomy using thesternohyoid and omohyoid muscle flaps.
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KEYWORD
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Cutaneous fistula, Laryngectomy, Neck muscles, Reconstructive surgical procedures
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