• 제목/요약/키워드: cervical esophagocutaneous fistula

검색결과 2건 처리시간 0.015초

식도피부루의 치험;2례 보고 (Treatment of Esophaocutaneous Fistula -2Cases Report-)

  • 최승호
    • Journal of Chest Surgery
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    • 제26권7호
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    • pp.583-585
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    • 1993
  • An esophagocutaneous fistula following anterior cervical fusion is rare.We had experienced two cases of postoperative cervical esophagocutaneous fistula, which one case was treated with nonoperative management and the other with operative management.The operation was tried when the conservative treatment seemed to be unsuccessful.They were eventually recovered with conservative treatment, whitch consisted of wound drainage and intravenous administration of antibiotics and operative management with the transposition of sternocleidomastoid muscle flap respectively.

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심한 경추부 외상후에 전방 경추부 수술후 발생한 식도의 누공 (Esophageal Fistula Related to Anterior Cervical Spine Surgery after Severe Cervical Trauma)

  • 팽성화
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.278-282
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    • 2012
  • An esophageal perforation following anterior cervical fusion is rare. Early development of an esophageal perforation after anterior cervical fusion is usually due to iatrogenic injury from retraction, injury associated with the original traumatic incident, improperly placed instruments or a bone graft. A 31-year-old man had a cervical dislocation and spinal cord injury because of severe cervical trauma after a traffic accident. He was quadriplegic and had no feeling below T4 dermatome. Anterior decompression of the cervical spine and anterior fusion with mesh with autobone were performed. An esophagocutaneous fistula occurred 7 days after anterior cervical surgery. A second anterior surgery was done because of pus drainage. The mesh was changed with an iliac bone graft, and the esophagocutaneous fistula site was primary repaired, but pus continued to drain. Conservative treatment, which consisted of wound drainage and intravenous administration of antibiotics, was tried, but was unsuccessful. After all, we removed the plate and screws, but did not removed the iliac bone graft, We closed the esophageal fistula, and transposed the sternocleidomastoid muscle flap to the interspace between the esophagus and the cervical spine. The wound to the esophagus was well repaired. In conclusion, precautionary measures are needed to avoid the complication, and adequate treatment is necessary to resolve those complications when they occur.