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전강웅(Kang-Woong Jun),원대연(Dae-Yeon Won),배자성(Ja-Sung Bae),성기영(Ki Young Sung),김정수(Jung-Soo Kim),전해명(Hae-Myoung Chun),정상설(Sang-Seol Chung),박우찬(Woo-Chan Park) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
A nonrecurrent laryngeal nerve has a reported incidence of 0.3 to 1.6%, and they mainly occur on the right side of neck during thyroidectomy. We experienced a case of nonrecurrent laryngeal nerve during surgery for papillary thyroid cancer. Total thyroidectomy with central and right lateral node dissection was performed in a 53-year-old female patient for her papillary thyroid cancer. During right central node dissection at the 4th tracheal ring level, the recurrent laryngeal nerve was found as a direct branch from the vagus nerve across the common carotid artery at the posterior aspect and no any other vascular abnormality was found on the operative field. During thyroid surgery, a surgeon should be careful not to damage a nonrecurrrent laryngeal nerve that"s found incidentally.
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정상설,임풍,유결,조성필,안상태 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.6
In the far advanced breast cancer with wide local destruction and metastasis to the regional lymph node and distant organs, curative surgery is difficult and complete remission is rare. As these patients have relatively short survival periods of only several months or years, the majority of surgeons have given up surgery and inclined to conservative or wound dressing. The patient are suffered from serious wound complications such as profuse discharge, foul odor, intractable pain, chest wall invasion even in the fair general condition. We experienced three cases of far advanced breast cancer with extensive local tissue necrosis and distant metastasis. We treated the breast necrosis with wide resection and immediate reconstruction using Latissimus dorsi musculocutaneous flap. During the follow-up periods from 6 months to lyear, all three patients were freed from daily wound treatment and intractable pain. As a conclusion, an aggressive surgical treatment of local tissue necrosis in the far advanced breast cancer may improve the quality of life, physical and mental health, of the patients.