Successful surgical management of a delayed pharyngo-esophageal perforation after anterior cervical spine plating.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 18224356.
- Also identified by DOI 10.1007/s00586-007-0578-5 and PMC identifier 2525898.
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Abstract
A case report of a 41-year-old man who had a delayed pharyngo-esophageal perforation without instrumentation failure 7 years after anterior cervical spine plating is presented and the literature on this issue is reviewed. This injury resulted from repetitive friction/traction between the retropharyngo-esophageal wall and the cervical plate construct leading to a pseudodiverticulum and perforation. Successful treatment of the perforation was obtained after surgical repair using a sternocleidomastoid muscle flap. This case stresses the necessity of careful long-term follow-up in patients with anterior cervical spine plating for early detection of possible perforation and the use of muscle flap as the treatment of choice during surgical repair.
Medical subject headings
- Bone Plates
- Cervical Vertebrae
- Esophagus
- Pharynx
- Postoperative Complications
- Spinal Fusion
Anatomy
- cervical spine