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Pharyngocutaneous Fistula which Occurred During Postoperative Radiotherapy in Larynx Cancer Patient with Dementia

대한두경부종양학회지 2019년 35권 2호 p.51 ~ 55
김정준 ( Kim Jung-Jun ) - 한국원자력의학원 원자력병원 이비인후-두경부외과

강주용 ( Kang Ju-Yong ) - 한국원자력의학원 원자력병원 이비인후-두경부외과
최익준 ( Choi Ik-Jun ) - 한국원자력의학원 원자력병원 이비인후-두경부외과
이명철 ( Lee Myung-Chul ) - 한국원자력의학원 원자력병원 이비인후-두경부외과

Abstract


Pharyngocutaneous fistula is a relatively common, but serious complication after pharyngeal or laryngeal cancer surgery. It can cause wound infection, longer hospitalization period and sometimes carotid artery rupture which can be fatal. Recently, we experienced a 63-year-old larynx cancer patient who had dementia and alcoholic liver cirrhosis for underlying diseases. He underwent total laryngectomy and both neck dissection, and pharyngocuta-neous fistula occurred during postoperative radiotherapy. Pharyngocutaneous fistula during postoperative radiotherapy has not yet reported in the literature, and there are few reports about pre and postoperative management of dementia patient after head and neck cancer surgery. Therefore, we report this case with a brief review of literature.

키워드

Pharyngocutaneous; Fistula; Radiotherapy; Dementia; Laryngectomy
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