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http://dx.doi.org/10.3340/jkns.2013.53.6.377

Large Perforation of Hypopharynx Secondary to Anterior Cervical Approach : A Complicated Case  

Park, Jun Hee (Department of Otolaryngology Head and Neck Surgery, College of Medicine, Chosun University)
Do, Nam Yong (Department of Otolaryngology Head and Neck Surgery, College of Medicine, Chosun University)
Kim, Seok Won (Department of Neurosurgery, College of Medicine, Chosun University)
Kim, Hyeun Sung (Department of Neurosurgery, Heori Sarang Hospital)
Publication Information
Journal of Korean Neurosurgical Society / v.53, no.6, 2013 , pp. 377-379 More about this Journal
Abstract
Perforation of the hypopharynx, which can occur after anterior cervical approach, is a very rare type of complication. If diagnosed late, it can lead to very fatal course, such as mediastinitis and hematosepsis. Therefore, a precise and prompt diagnosis is crucial. When conservative treatment alone is not expected to heal the perforated site or is likely to lead to serious complications, surgical treatment becomes necessary. This report demonstrates that surgical intervention performed immediately after an early diagnosis can lead to the successful treatment of a large perforation in the hypopharynx on a 58-year-old male patient.
Keywords
Hypopharynx; Perforation; Cervical;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 Buecker A, Wein BB, Neuerburg JM, Guenther RW : Esophageal perforation : comparison of use of aqueous and barium-containing contrast media. Radiology 202 : 683-686, 1997   DOI
2 Endicott JN, Molony TB, Campbell G, Bartels LJ : Esophageal perforations : the role of computerized tomography in diagnosis and management decisions. Laryngoscope 96 : 751-757, 1986
3 Fountas KN, Kapsalaki EZ, Nikolakakos LG, Smisson HF, Johnston KW, Grigorian AA, et al. : Anterior cervical discectomy and fusion associated complications. Spine (Phila Pa 1976) 32 : 2310-2317, 2007   DOI
4 Lee JS, Kang DH, Hwang SH, Han JW : Oral extrusion of screw after anterior cervical interbody fusion. J Korean Neurosurg Soc 44 : 259-261, 2008   DOI
5 Heater DW, Haskvitz L : Suspected pharyngoesophageal perforation after a difficult intubation : a case report. AANA J 73 : 185-187, 2005
6 Hinojar AG, Diaz Díaz MA, Pun YW, Hinojar AA : Management of hypopharyngeal and cervical oesophageal perforations. Auris Nasus Larynx 30 : 175-182, 2003   DOI
7 Kras JF, Marchmont-Robinson H : Pharyngeal perforation during intubation in a patient with Crohn's disease. J Oral Maxillofac Surg 47 : 405-407, 1989   DOI
8 Lee TS, Jordan JS : Pyriform sinus perforation secondary to traumatic intubation in a difficult airway patient. J Clin Anesth 6 : 152-155, 1994   DOI
9 Niezgoda JA, McMenamin P, Graeber GM : Pharyngoesophageal perforation after blunt neck trauma. Ann Thorac Surg 50 : 615-617, 1990   DOI
10 Orlando ER, Caroli E, Ferrante L : Management of the cervical esophagus and hypofarinx perforations complicating anterior cervical spine surgery. Spine (Phila Pa 1976) 28 : E290-E295, 2003
11 Shockley WW, Tate JL, Stucker FJ : Management of perforations of the hypopharynx and cervical esophagus. Laryngoscope 95 : 939-941, 1985