scholarly journals Successful surgical management of a delayed pharyngo-esophageal perforation after anterior cervical spine plating

2008 ◽  
Vol 17 (S2) ◽  
pp. 280-284 ◽  
Author(s):  
Dino Solerio ◽  
Enrico Ruffini ◽  
Giosué Gargiulo ◽  
Michele Camandona ◽  
Eleonora Raggio ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Surgical Management ◽  
Esophageal Perforation

scholarly journals Esophageal Perforation due to Anterior Cervical Spine Hardware Placement: Case Series

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Thomas S. Lee ◽  
Eric N. Appelbaum ◽  
Derek Sheen ◽  
Reintine Han ◽  
Benjamin Wie
Keyword(s):  
Cervical Spine ◽  
Surgical Management ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Tertiary Care ◽  
Case Series ◽  
Bony Defect ◽  
Oral Nutrition ◽  
Presenting Symptoms ◽  
Esophageal Perforations

Context. This case series discusses surgical management of esophageal perforations that occurred following cervical spine hardware placement. Purpose. (1) Determine presenting symptoms of esophageal perforation after anterior cervical spine hardware placement. (2) Discuss surgical management of these resulting esophageal perforation complications. Design/Setting. Case series of six patients at a tertiary-care, academic medical center. Patient Sample. Six patients with pharyngoesophageal perforations following anterior cervical spine surgery (ACSS). Outcome Measures. Date of ACSS, indication for ACSS, level of hardware, location of esophageal or pharyngeal injury, symptoms at presentation, surgical intervention, type of reconstruction flap, wound culture flora, and antibiotic choice. Methods. A retrospective review of patients with an esophageal or hypopharyngeal injury in the setting of prior ACSS managed by the otolaryngology service at a tertiary, academic center between January 2015 and January 2019. Results. Six patients who experienced pharyngoesophageal perforation following ACSS are included in this study. Range of presentation was two weeks to eight years following initial hardware placement. Five patients presented with an abscess and all had evidence of perforation on initial CT or esophagram. All patients underwent repair with a sternocleidomastoid flap with two patients eventually requiring an additional pectoralis myofascial flap for a persistent esophageal leak. Five patients eventually attained ability to tolerate oral nutrition. An algorithm detailing surgical reconstructive management is proposed. Conclusions. Esophageal perforations in the setting of prior ACSS are challenging clinical problems faced by otolaryngologists. Consideration should be given to early drainage of abscesses and spine surgery evaluation. Spinal hardware removal is recommended whenever possible. Utilization of a pedicled muscle flap reinforces primary closure and allows coverage of the vertebral bony defect. Nutrition, thyroid repletion, and culture-directed IV antibiotics are necessary to optimize esophageal perforation repair.

Surgical Management of Chordoma of the Cervical Spine

2021 ◽  
pp. 147-157
Author(s):  
Oliver G. S. Ayling ◽  
Nicolas Dea
Keyword(s):  
Cervical Spine ◽  
Surgical Management

Displaced cervical spine hardware and esophageal perforation during labor

2019 ◽  
Vol 40 ◽  
pp. 163-164
Author(s):  
S. Kinthala ◽  
N. Maganti ◽  
J. Yarmush ◽  
J. Weinberg
Keyword(s):  
Cervical Spine ◽  
Esophageal Perforation

Esophageal Perforation Associated with Cervical Spine Surgery: Report of Two Cases and Review of the Literature

2004 ◽  
Vol 21 (3) ◽  
pp. 246-249 ◽  
Author(s):  
B.C. Vrouenraets ◽  
H.D. Been ◽  
R. Brouwer-Mladin ◽  
M. Bruno ◽  
J.J.B. van Lanschot
Keyword(s):  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Review Of The Literature ◽  
Cervical Spine Surgery

Pneumocephalus leading to the diagnosis of cerebrospinal fluid leak and esophageal perforation after cervical spine surgery

2016 ◽  
Vol 26 ◽  
pp. 141-142 ◽  
Author(s):  
C. Rory Goodwin ◽  
Christine E. Boone ◽  
James Pendleton ◽  
Benjamin D. Elder ◽  
Zhikui Wei ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cerebrospinal Fluid Leak ◽  
Cervical Spine Surgery ◽  
Fluid Leak

Recurrent esophageal perforation after anterior cervical spine surgery: case report

2018 ◽  
Vol 27 (S3) ◽  
pp. 515-519 ◽  
Author(s):  
Man-Kyu Park ◽  
Dae-Chul Cho ◽  
Woo-Seok Bang ◽  
Kyoung-Tae Kim ◽  
Joo-Kyung Sung
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Esophageal Perforation ◽  
Cervical Spine Surgery ◽  
Anterior Cervical Spine Surgery
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