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남인철(In Chul Nam) 대한신경모니터링학회 2021 Journal of Neuromonitoring & Neurophysiology Vol.1 No.1
Voice change after thyroidectomy is one of the most common complaints and have a significant impact on patients quality of life. Postoperative voice change may occur due to vocal cord paralysis after recurrent laryngeal nerve injury during surgery, but recently, voice change without nerve injury is getting a lot of attention, and many studies are being performed on it. Pre-operative voice evaluation is necessary for the purpose of detecting pre-existing voice abnormalities and securing a baseline data to counsel patients about their impaired voice or provide appropriate postoperative voice therapy. Post-operative voice evaluation is also important to accurately evaluate voice abnormalities and provide appropriate treatment. Techniques of voice evaluation vary from subjective measurement using questionnaires to professional analysis including acoustic and aerodynamic studies. Among various methods, it is important to properly select and implement a method available for the conditions of each institution, and refer to a specialist if it is difficult to perform professional analysis and treatment.
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두경부암 수술 후 발생한 합병증에서 대흉근피판의 임상적 유용성
주영훈(Young-Hoon Joo),조광재(Kwang-Jae Cho),박준욱(Jun-Ook Park),남인철(In-Chul Nam),선동일(Dong-Il Sun),김민식(Min-Sik Kim) 대한두경부종양학회 2011 대한두경부 종양학회지 Vol.27 No.1
Background and Objectives:The pectoralis major myocutaneous flap(PMMCF) has been considered to be the “workhorse” of pedicled flaps in head and neck reconstruction. Even with the worldwide use of free flaps, the PMMCF is still considered the mainstay in head and neck reconstruction. The aim of the study is to evaluate the application and reliability of the PMMCF in selected cases of head and neck complication. Materials and Methods:We conducted a retrospective review of 14 patients who underwent the surgical reconstruction us-ing the PMMCF due to the complications after head and neck ablative surgery between 1997 and 2007. Out-come measures included the indications of PMMCF, complications and post-operative functional result. Re-sults:PMMCFs were used to reconstruct defects in the following series; wound dehiscence(7 patients), flap failure(4 patients), pharyngocutaneous fistula(3 patients). Flap survival was 100 percent and mean flap size was 67.2cm 2 . Five patients had complications such as pharyngocutaneous fistula, marginal necrosis, carotid blowout. Conclusions:The PMMCF is a safe and convenient method for reconstruction of the surgical com-plications after resection of advanced tumors and can be still used as a salvage procedure after free flaps failure.
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