Management of the Cervical Esophagus and Hypofarinx Perforations Complicating Anterior Cervical Spine Surgery
- 1 August 2003
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Spine
- Vol. 28 (15), E290-E295
- https://doi.org/10.1097/01.brs.0000087093.89889.0a
Abstract
Five cases of esophageal or pharyngeal perforation diagnosed during or after anterior cervical spine surgery are presented. To outline a protocol for the early diagnosis and treatment of iatrogenic pharyngoesophageal perforations. Pharyngoesophageal perforations after anterior cervical spine surgery are uncommon or rarely reported complications. They may have serious functional consequences, including death, if they are not diagnosed promptly and treated effectively. These potentially fatal conditions require a surgical and medical therapy. Clinical course, diagnostic tools and guidelines for the management of five patients presenting esophagopharingeal perforations are illustrated. These five cases resulted in definitive healing of the laceration without functional consequences. We believe that awareness of these complications and their causes, prompt recognition of the symptoms and immediate and multimodality therapies are essential tools to achieve successful results.Keywords
This publication has 18 references indexed in Scilit:
- Delayed esophageal perforation after cervical osteosynthesisJournal of Neurosurgery: Spine, 2000
- Cervical corpectomy: report of 185 cases and review of the literatureJournal of Neurosurgery: Spine, 1999
- Delayed Pharyngoesophageal Perforation: A Complication of Anterior Spine SurgeryAnnals of Otology, Rhinology & Laryngology, 1991
- Delayed neck infection following anterior spine surgeryThe Laryngoscope, 1987
- Esophageal perforations: A 15 year experienceThe American Journal of Surgery, 1982
- Operative and Nonoperative Management of Esophageal PerforationsAnnals of Surgery, 1981
- One-Stage Reconstruction for Defects of the Mouth Using a Sternomastoid Myocutaneous FlapPlastic and Reconstructive Surgery, 1979
- Surgical management of penetrating injuries of the esophagusThe American Journal of Surgery, 1977
- Esophageal PerforationsThe Annals of Thoracic Surgery, 1970
- Clinical experiences with perforation of the esophagusThe American Journal of Surgery, 1962