RÉSUMÉ
Reconstruir lesão do estoma traqueal em pacientes submetidos a laringectómica total é um desafio, especialmente, quando a pele do perístoma está lesionada devido à radioterapia. A reconstrução é complexa e geralmente requer mais de uma abordagem. Apresenta-se técnica simples utilizada com sucesso em paciente de 80 anos com deiscência de lesão do estoma traqueal e retração da traqueia.
Reconstruction of tracheal stoma wound in patients who undergone total laryngectomy is challenging especially when the peristomal skin is unhealthy due to radi therapy. The reconstruction is complex and usually requires more than one stage. We present a simple techniqued successfully used in an 80-year-old patient with dehisced tracheal stoma wound and retraction of trachea.
Sujet(s)
Humains , Femelle , Adulte d'âge moyen , Histoire du 21ème siècle , Complications postopératoires , Radiothérapie , Lambeaux chirurgicaux , Trachée , Plaies et blessures , Présentations de cas , Trachéostomie , Études longitudinales , Diffusion des innovations , Étude d'observation , Cartilages laryngés , Laryngectomie , Larynx , Complications postopératoires/chirurgie , Radiothérapie/méthodes , Lambeaux chirurgicaux/chirurgie , Trachée/chirurgie , Plaies et blessures/chirurgie , Trachéostomie/effets indésirables , Trachéostomie/méthodes , Cartilages laryngés/chirurgie , Laryngectomie/effets indésirables , Laryngectomie/méthodes , Larynx/chirurgie , Larynx/anatomopathologieRÉSUMÉ
A middle-aged male presenting with complaint of progressively increasing dysphagia was found to have a large cystic mass lesion in the middle mediastinum on evaluation. A diagnosis of an endo-duplication cyst was considered after exploration, in view of infiltration of the muscular layer of the lower thoracic esophagus, presence of multiple hyperemic nodular lesions on its inner surface and its location in the middle mediastinum. However, the histopathology revealed the lesion to be a cystic lymphangioma.