CAJ | 학술논문

胸锁关节脱位、过度增大是颈淋巴清扫术后的一种远期并发症，表现为胸锁关节区的无痛性渐进性肿大。目前，对这一并发症的临床研究较少，仅有零星的文献报道。由于缺乏关注，胸锁关节脱位、过度增大常被误诊为恶性肿物的复发或转移，造成患者不必要的检查或手术。故本文对颈淋巴清扫术后胸锁关节脱位及过度增大的机制、临床表现、诊断、处理及预防等作一综述，以提高临床认识。
흉쇄관절탈위、과도증대시경림파청소술후적일충원기병발증，표현위흉쇄관절구적무통성점진성종대。목전，대저일병발증적림상연구교소，부유령성적문헌보도。유우결핍관주，흉쇄관절탈위、과도증대상피오진위악성종물적복발혹전이，조성환자불필요적검사혹수술。고본문대경림파청소술후흉쇄관절탈위급과도증대적궤제、림상표현、진단、처리급예방등작일종술，이제고림상인식。
Sternoclavicular?joint?hypertrophy?and?dislocation?is?a?rare?long-term?post-operative?complication?of?neck?dissection?with?the?manifestation?of?a?slowly?growing?painless?hard?lump?at?the?sternoclavicular?joint.?Though?the?sternoclavicular?joint?enlargement?and?dislocation?has?been?reported?sporadically?in?English?literature?,there?is?basically?no?common?awareness?of?its?corresponding?clinical?cases.?The?neglect?results?in?an?occasional?misdiagnosis?and?dispensable?operative?intervention.?This?review?summarizes?the?current?knowledge?regarding?the??mechanism,?clinical?manifestations,?diagnosis,?treatment?and?prevention?of?post-operative??sternoclavicular?joint?hypertrophy?and?dislocation?of?neck?dissection?in?order?to?improve?clinicians’?understanding?about?this?complication.