Postpnömonektomi sendromunun silikon meme implantı ve kimerik latissimus dorsi ve serratus anterior kas flepleri ile tedavisi

Year 2024, Volume: 49 Issue: 2, 509 - 511, 30.06.2024

Eyüp Gencel , Alper Avci , Ömer Kokaçya , İbrahim Tabakan , Cemal Özçelik

https://doi.org/10.17826/cumj.1356617

Abstract

11 yaşında bir hastada postpnömonektomi sendromunun silikon meme implantı ile beraber latissimus dorsi ve serratus kas flepleri ile tedavisini bildirilmektedir. Hasta konjenital kistik adenomatoid malformasyon nedeniyle yapılan pnömonektomi ameliyatının postoperatif 5. ayında şiddetli nefes darlığı ve öksürük şikayetiyle başvurdu. Tomografi ve bronkoskopik incelemede sağa mediastinal kayma tespit edildi. Kalp ile sağ pnömonektomi bölgesi arasındaki fibrotik doku diseke edilerek ana bronş serbestleştirildi ve medialize edildi. Ölü boşluk silikon meme implantı ile dolduruldu. Latissimus dorsi ve serratus anterior kas flepleri implantın üzerini örtmek ve implant ile ana damarlar arasında bariyer oluşturmak için kullanıldı.

Keywords

pnömonektomi, meme implantı, latissimus dorsi, serratus, flep

Treatment of postpneumonectomy syndrome with silicone breast implant and chimeric latissimus dorsi and serratus anterior muscle flaps

Abstract

We report treatment of postpneumonectomy syndrome in a 11 years old boy by silicone breast implant and latissimus dorsi and serratus muscle flaps. The patient was admitted for with severe dyspnea and cough at the postoperative 5th month of pneumonectomy operation for congenital cystic adenomatoid malformation. Tomographic and bronchoscopic examinations revealed right mediastinal shift. Fibrotic tissue between heart and right pneumonectomy site was dissected, main bronchus was released and medialized. Dead space was filled with silicone breast implant. Latissimus dorsi and serratus anterior muscle flaps were used to cover and also to create a barrier between implant and major vessels.

Keywords

pneumonectomy, breast implant, latismus dorsi, serratus, flap

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