Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 113, Issue 1
Displaying 1-5 of 5 articles from this issue
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Review article
Original article
  • Prevention of Wound Complications after Salvage Total Laryngectomy Following Chemoradiotherapy with a Pectoralis Major Muscle Interposition Flap
    Yasushi Furuta, Michiya Matsumura, Fumio Ohtani, Masanobu Suzuki, Hiro ...
    2010 Volume 113 Issue 1 Pages 9-14
    Published: 2010
    Released on J-STAGE: February 19, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.113.9
    JOURNAL FREE ACCESS
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    There is an increased risk of wound complications in patients undergoing salvage laryngectomy following chemoradiotherapy. To reduce the rate of wound complications after a salvage total laryngectomy, a fresh tissue reinforcement of the pharyngeal suture line (pharyngeal interposition graft) has been reported to be useful. In the present study, wound complications after a salvage total laryngectomy with a pectoralis major muscle flap as a pharyngeal interposition graft were analyzed. Four patients with recurrent laryngeal cancer (three with supraglottic, and one with glottic cancer) after chemoradiotherapy underwent salvage total laryngectomy using a pectoralis major muscle interposition flap. Minor wound complications were observed in three of the four patients, with an infection around the tracheostoma, a minor subcutaneous abscess, and a superficial skin necrosis in one patient each. These complications were managed with local wound care. No patients had major wound complications such as pharyngocutaneous fistulas. There were no necroses or wound complications of the pectoralis major muscle flap. This study has suggested that the pectoralis major muscle flap as a pharyngeal interposition graft is safe and useful for prevention of wound complications in salvage total laryngectomy following chemoradiotherapy.
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  • MRI-CT Fusion Image Navigation during Surgery for Inverted Papilloma
    Shigehisa Hashimoto, Kuniyuki Takahashi, Hiroko Satoh, Kojiro Ishioka, ...
    2010 Volume 113 Issue 1 Pages 15-19
    Published: 2010
    Released on J-STAGE: February 19, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.113.15
    JOURNAL FREE ACCESS
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    We report two cases of intraoperative computer-aided surgery using magnetic resonance imaging (MRI)/computed tomography (CT) fusion imaging for inverted papilloma (IP).
    Case 1: IP had spread to the frontal recess/sinus so we chose a combined endoscopic sinus surgery (ESS) and external approach. Case 2: For a maxillary sinus tumor, we combined ESS and the adjuvant external (Caldwell-Luc) procedure.
    This is helpful to surgeons when, shifting fusion imaging when opening the frontal sinus bone to obtain CT data, and shifting to MRI to detect the tumor pedicle, then approaching the bone defect using MRI-CT fusion imaging (50-50%).
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  • A Case Report: Multiple Air Embolism after the Laryngopharyngoesophagectomy Occurred by the Cervical Infection from Postoperative Fistula
    Makoto Miyamoto, Toshiya Inoue, Motoki Nagata, Hisaya Yukawa, Manabu O ...
    2010 Volume 113 Issue 1 Pages 20-25
    Published: 2010
    Released on J-STAGE: February 19, 2011
    DOIhttps://doi.org/10.3950/jibiinkoka.113.20
    JOURNAL FREE ACCESS
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    Systemic air embolism, a very rare clinical condition, has many causes. We report a case of multiple air embolisms following laryngopharyngoesophagectomy salvage surgery for hypopharyngeal residual cancer after concurrent chemoradiotherapy. Cervical infection arose from a fistula caused by postoperative suture failure in which the 56-year-old man suddenly lost consciousness and went into shock. A few days post operation, an air embolism happened and caused in the brain, pulmonary, myocardiac and cerebral infarction. The man died two months after initial occurrence. We suspect that air entered through the ruptured left internal jugular vein via infection due to aspiration at the injury site. Air embolisms are associated with different medical maneuvers, and it is necessary to recognize that they may become a serious perioperative complication.
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Educational lecture
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