咽皮肤瘘作为下颌骨切除术罕见的术后晚期并发症：一例报告
Pharyngocutaneous Fistula as a Rare Late Postoperative Complication Following Submandibulectomy: A Case Report.
作者信息
Mashali Leila, Araghi Somayeh
机构信息
Department of Otolaryngology Head and Neck Surgery, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Otolaryngology Head and Neck Surgery, Tehran University of Medical Sciences, Tehran , Iran.
出版信息
Iran J Otorhinolaryngol. 2017 Jul;29(93):229-231.
INTRODUCTION
Submandibular gland excision is the gold standard treatment for submandibular gland disease. Although submandibulectomy is a relatively standardized surgical procedure, complications are frequently reported. These complications include nerve paralysis or paresis, aesthetic sequelae, hematoma, salivary fistulas or sialoceles, wound infections, hypertrophic scars and inflammations caused by residual lithiasis in the salivary duct.
CASE REPORT
We report a case of a rare complication of submandibular gland excision, pharyngocutaneous fistula, which appeared 6 years after previous surgery. The patient underwent surgery, during which a fistula tract from the skin to the pharynx was found and excised.
CONCLUSION
The authors believe that inappropriate execution of the surgical procedure could result in postoperative complications.
引言
下颌下腺切除术是治疗下颌下腺疾病的金标准。尽管下颌下腺切除术是一种相对标准化的外科手术，但并发症的报道屡见不鲜。这些并发症包括神经麻痹或轻瘫、美学后遗症、血肿、涎瘘或涎囊肿、伤口感染、肥厚性瘢痕以及唾液导管残留结石引起的炎症。
病例报告
我们报告一例下颌下腺切除术后罕见并发症——咽皮肤瘘的病例，该并发症在先前手术6年后出现。患者接受了手术，术中发现并切除了一条从皮肤通向咽部的瘘管。
结论
作者认为手术操作不当可能导致术后并发症。
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