Composite reconstruction of the esophagus and hypopharynx after severe caustic injury.
The ingestion of caustic materials may cause burns and subsequent strictures of the esophagus. Depending on the extent of the injury, the stricture may require dilation, excision, or bypass with an esophageal replacement. There is also a risk of esophageal dysfunction, perforation, and malignancy. Here is presented a case of a burn so severe that the hypopharynx was deformed and the esophagus destroyed. Composite techniques restored complete gastrointestinal continuity while maintaining excellent swallowing function.
Doolin
E J
EJ
Department of Surgery, Robert Wood Johnson Medical School at Camden, New Jersey.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002057:Burns, Chemical / Q000150:complications / Q000628:therapy*; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000628:therapy*; D004944:Esophagoplasty; D004946:Esophagostomy; D005774:Gastrostomy; D006801:Humans; D006878:Hydroxides / Q000009:adverse effects; D007013:Hypopharynx / Q000293:injuries* / Q000601:surgery*; D015601:Injury Severity Score; D007442:Intubation, Intratracheal; D008297:Male; D017680:Potassium Compounds / Q000009:adverse effects; D013524:Surgical Flaps
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D006878:Hydroxides; D017680:Potassium Compounds; C029943:potassium hydroxide