BİR CERRAHİ ÇELİŞKİ: SUPRAKRİKOİD LARENJEKTOMİ SONRASI TEDAVİYE DİRENÇLİ ASPİRASYONUN TEDAVİSİNDE TEK TARAFLI ARİTENOİDEKTOMİ

Year 2018, Volume: 81 Issue: 3, 99 - 101, 20.09.2018

Mehmet Çelik Can Doruk , Bora Başaran

Abstract

DOI: 10.26650/IUITFD.342778

Suprakrikoid larenjektomi larenks
fonksiyonlarının korunduğu parsiyel larenjektomi metodlarından biridir. Bu
operasyonları takiben en sık görülen fonksiyonel bozukluk yutma güçlüğüdür.
Aritenoid kartilajların bilateral korunmasının postoperatif dönemde yutma
fonksiyonlarının çabuk iyileşmesinde faydalı olduğu bildirilmektedir. Bu olgu
sunumumuzda 2015 yılında her iki aritenoid kartilajın korunduğu suprakrikoid
larenjektomi yapılmış bir erkek hastayı sunmaktayız. Hastanın postoperatif
dönemde şiddetli aspirasyon ve yutma problemleri olmuştur. Hastayı total
larenjektomiden kurtarmak için tek taraflı aritenoidektomi denenlmiş ve
başarılı olmuştur. Hasta postoperatif 3. ay takibinde gastrostomi tübünden
kurtulmuştur.

Keywords

Suprakrikoid larenjektomi, yutma problemi, aritenoidektomi

UNILATERAL ARYTENOIDECTOMY FOR INTRACTABLE ASPIRATION FOLLOWING SUPRACRICOID LARYNGECTOMY: A CASE OF SURGICAL DILEMMA

Abstract

DOI: 10.26650/IUITFD.342778

Supracricoid partial laryngectomy (SCPL) is
a procedure in which the functions of the larynx are preserved. Swallowing
difficulties is the most common functional impairment following SCPL. It has
been suggested that sparing the arytenoid cartilages is beneficial for the
rapid recovery of the swallowing function after SCPL. In this case report we
present a 67-year-old male who underwent SCPL in 2015, in which both arytenoid
cartilages were preserved. Following the procedure, the patient had severe
aspiration and swallowing problems. In order to save the patient from total
laryngectomy a one sided arytenoidectomy was performed successfully. The patient
no longer required his gastrostomy tube afer 3 months.

Keywords

Supracricoid laryngectomy, swallowing problems, arytenoidectomy

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