Case Reports Epublish 3 citations
PubMed: 35047324 DOI: 10.1097/GOX.0000000000004029
A Surgical Alternative in the Treatment of Hypopharyngeal Perforation.
Plast Reconstr Surg Glob Open 10(1):e4029
Authors: Nicolas M Abboud, Melvin Dziubek, Svetlana Bogaert, Meriem Ennaji, Julien Spitaels, Vanessa Marron Mendes, Alessandro Fouarge, Maarten Vander Kuylen, Nicolas Cuylits
Affiliations
- Department of Plastic and Reconstructive Surgery, Erasme Hospital, Brussels, Belgium.
- Department of Upper Gastro-Intestinal Surgery, Erasme Hospital, Brussels, Belgium.
- Department of Neuro-Surgery, Erasme Hospital, Brussels, Belgium.
Abstract
Pharyngo-esophageal perforation is a rare, life-threatening complication of anterior cervical discectomy and fusion surgery with an incidence estimated to be between 0.2 and 1.51%. Early diagnosis and appropriate treatment of this complication is the key to reduce morbidity and mortality, as the main prognostic factor is the interval between the onset of the fistula, diagnosis and treatment. Conservative management has shown encouraging results in small and localized defects, whereas surgical approaches using flaps are to be considered for most of the cases. However, there is no clear consensus on the first choice of treatment in esophageal perforation. This case report presents the use of a supra-clavicular fascio-cutaneous pedicled propeller flap as a patch combined to primary repair of a hypopharyngeal perforation, 10 years after anterior cervical spine arthrodesis.
MeSH
Diagnosis, Therapeutics, Esophageal Perforation