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J Korean Soc Laryngol Phoniatr Logop > Volume 31(2); 2020 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2020;31(2): 83-86.
doi: https://doi.org/10.22469/jkslp.2020.31.2.83
기관식도 누공에 대한 후두미세수술 접근하 재건술: 증례 보고 및 문헌 검토
한문수 , 염건휘 , 오경호 , 권순영
고려대학교 의과대학 안산병원 이비인후-두경부외과학교실
Repair of Tracheoesophageal Fistula under Laryngeal Microsurgery Approach: Case Report and Literature Review
Mun Soo Han , Gunhwee Yum , Kyung Ho Oh , Soon Young Kwon
Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea
Correspondence  Soon Young Kwon ,Tel: +82-31-412-5170, Fax: +82-31-412-5174, Email: entkwon@korea.ac.kr
Received: 20 July 2020; Revised: August 19, 2020   Accepted: 16 September 2020.  Published online: 30 December 2020.
ABSTRACT
Patients with tracheoesophageal fistula show signs of aspiration, possibly leading to pneumonia, which could be fatal to bed-ridden patients. Tracheoesophageal fistula occurs as a complication of intubation, tracheostomy tube insertion and nasogastric tube insertion. Possible etiology is pressure and ischemic necrosis given by tracheostomy tube and nasogastric tube to trachea and esophagus; or in some cases, larynx and hypopharynx. Meanwhile, for repair of tracheoesophageal fistula, transcervical approach can be considered but takes relatively long operation time and is not appropriate for patients with underlying diseases. We report a case of tracheoesophageal fistula complicated several years after tracheostomy tube and nasogastric tube insertion who came to medical attention with signs of aspiration. Authors successfully performed repair of the fistula under laryngeal microsurgery approach without skin incision and dissection, and thereby report the experience with review of literature.
KEY WORDS: Tracheoesophageal fistula; Aspiration pneumonia; Tracheostomy; Gastrointestinal intubation; Microsurgery
중심 단어: 기관식도 누공, 흡인성 폐렴, 기관절개술, 위장관삽관, 미세수술
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