日本気管食道科学会会報 第73巻3号
21/76

J. Jpn. Bronchoesophagol. Soc., 73 : 210─215, 2022In every medical field, there are many surgeries that involve the use of artificial materials. However, when an infection occurs around an artificial material, which is a foreign substance, con-trol is often difficult. We report a case of arytenoid adduction combined with type 1 thyroplasty that led to Gore-tex deviation caused by infection. The case was a 51-year-old man who underwent right thyroidectomy several years ago. He first visited our department the following year with a complaint of hoarseness after surgery. His right vocal fold was fixed, and he was diagnosed with postoperative right recurrent nerve paralysis. Phonosurgery was performed. During the operation, laryngeal edema was found by endoscopy, a cricoid thyroid ligament incision was performed for safety, and a tube was inserted. Around 7 days after the operation, pus was found discharging from the wound, the tube was removed, and wound irrigation was started. On the 17th day after the operation, the infection was controlled, but the wound was filled with a granuloma and was not closed. The granuloma was removed frequently. At an outpatient visit 3 months after the op-eration, Gore-tex was found deviating from the wound and was removed. One week after removal, the wound closed. This case served to confirm that infected wounds do not close unless the artifi-cial material, a foreign body, is removed. No change of voice was observed even after the removal of the Gore-tex.防のための尿道留置カテーテル感染に関する実態調査.日本感染環境学会誌34:50─54, 2019.13) Isshiki N, Okamura H, Ishikawa T:Thyroplasty type I(lateral compression)for dysphonia due to vocal cord paralysis or atrophy. Acta Otolaryngol 80:465─473, 1975.A Case of Gore-tex Deviation Due to Wound Infection Key words : Gore-tex, arytenoid adduction, type 1 thyroplasty14) 平野 滋,高北晋一,山下 勝・他:ゴアテックスを用いた甲状軟骨形成術I型の工夫.日気食会報56:439─444, 2005.15) 相原勇介,中村一博,服部和裕・他:甲状軟骨形成術I型後にゴアテックスの下咽頭への逸脱を認めた2例.日気食会報72:132─137, 2021.215日気食会報,73(3),2022after Arytenoid Adduction + Type 1 Thyroplasty1)Department of Otorhinolaryngology, Head and Neck Surgery, Nihon University School of Medicine, TokyoHisashi Hasegawa, M.D., Ph.D.1), Yoshiyuki Nagata, M.D., Ph.D.1), Tadayoshi Koda, M.D.1), Taketo Baba, M.D.1), and Takeshi Oshima, M.D., Ph.D.1)Tomoh Shibasaki, M.D.1), Kazuhiro Nakamura, M.D., Ph.D.1),

元のページ  ../index.html#21

このブックを見る