Improved repair of cervical esophageal fistula complicating anterior spinal fusion: free omental flap compared with pectoralis major flap. Report of four cases.
case_series · Level IV
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Abstract
Esophageal injury is a serious complication of anterior cervical fusion. A team approach to the management of these cases is described. The authors performed spinal assessment, control of the fistula, and interposition of a vascularized flap between the spine and the esophagus. They compared the overall efficacy of the pectoralis major flap (pedicled; two cases) and omental flap (free; two cases).
Medical subject headings
- Esophageal Fistula
- Postoperative Complications
- Spinal Fusion
- Surgical Flaps
Anatomy
- cervical spine