SURGICAL EXTRAPLEURAL ACCESS METHOD FOR TREATING PHARYNGEAL MEDIASTINAL FISTULA CASES

摘要

FIELD: medicine.;SUBSTANCE: method involves carrying out cervical mediastinotomy by making longitudinal incision along anterior edge of nodding muscle. The fistula is exposed from adhesions and separated from pharynx wall. The fistula is catheterized. U-shaped graft is cut out at distal fistula portion level on the back within the region restricted by 3-6 ribs. Parietal pleura is detached in posterior mediastinum region to make access to distal fistula part. Catheter is removed with fistula being concurrently excised.;EFFECT: enhanced effectiveness in carrying out full-scale pus drainage; reduced risk of disease recurrence.;2 dwg