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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Chang, Hsien Pin (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Hong, Jong Won (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Lee, Won Jai (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Kim, Young Seok (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance Hospital, Yonsei University College of Medicine) Koh, Yoon Woo (Department of Otorhinolaryngology, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Kim, Se-Heon (Department of Otorhinolaryngology, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei Unive) Roh, Tae Suk
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제5호
발행연도
2018.1
수록면
449 - 457 (9page)

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Background Although previous studies have focused on determining prognostic and causative variables associated with fistula-related complications after head and neck reconstructive surgery, only a few studies have addressed preventive measures. Noting that pooled saliva complicates wound healing and precipitates fistula-related complications, we devised a continuous suction system to remove saliva during early postoperative recovery. Methods A continuous suction system was implemented in 20 patients after head and neck reconstructive surgery between January 2012 and October 2017. This group was compared to a control group of 16 patients at the same institution. The system was placed orally when the lesion was on the anterior side of the retromolar trigone area, and when glossectomy or resection of the mouth floor was performed. When the orohypopharynx and/or larynx were eradicated, the irrigation system was placed in the pharyngeal area. Results The mean follow-up period was $9.2{\pm}2.4$ months. The Hemovac system was applied for an average of 7.5 days. On average, 6.5 days were needed for the net drain output to fall below 10 mL. Complications were analyzed according to their causes and rates. A fistula occurred in two cases in the suction group. Compared to the control group, a significant difference was noted in the surgical site infection rate (P<0.031). Conclusions Clinical observations showed reduced saliva pooling and a reduction in the infection rate. This resulted in improved wound healing through the application of a continuous suction system.
#Saliva #Fistula #Suction #Infection

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참고문헌 (24)

참고문헌 신청
Haughey BH / 2001 / Free flap reconstruction of the head and neck: analysis of 241 cases / Otolaryngol Head Neck Surg 125:10~17 google schola Sayles M / 2014 / Preventing pharyngo-cutaneous fistula in total laryngectomy: a systematic review and meta-analysis / Laryngoscope 124:1150~1163 google schola Pohlenz P / 2012 / Microvascular free flaps in head and neck surgery: complications and outcome of 1000 flaps / Int J Oral Maxillofac Surg 41:739~743 google schola Makitie AA / 2003 / Pharyngocutaneous fistula / Curr Opin Otolaryngol Head Neck Surg 11:78~84 google schola Larsen LR / 1984 / Wound amylase levels as an early indicator of orocutaneous fistulae / Laryngoscope 94:1302~1306 google schola

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