Infrahyoid muscle flap for pharyngeal fistulae after cervical spine surgery: a novel approach--report of six cases.
A report of our experiences involving the treatment six male patients with a new method of closing perforations in the pharynx and upper esophagus, following surgery of the cervical spine region. Perforation of the pharynx and upper esophagus are rare complications following cervical spine surgery. The grave consequences of these complications necessitate in most cases immediate surgical therapy. In most cases, the first step involves the removal of the cervical plate and screws. The defect was then closed using a vascular pedicled musculofascia flap derived from the infrahyoid musculature. In all cases, the flap healed into place without complications. The patients began taking oral nutrients after an average of seven postoperative (5-12) days. In none of the cases did functional disorders or complications arise during the follow-up period (1-5 years). The infrahyoid muscle flap is well suited for reconstruction of the posterior pharyngeal wall and the upper esophagus.
Seidl
Rainer O
RO
Department of Otolaryngology, Head and Neck Surgery at UKB, Free University of Berlin, Warener Strasse 7, 12683, Berlin, Germany. roseidl@ukb.de
Niedeggen
Andreas
A
Todt
Ingo
I
Westhofen
Martin
M
Ernst
Arne
A
D000328:Adult; D000368:Aged; D002574:Cervical Vertebrae / Q000293:injuries / Q000601:surgery*; D004947:Esophagus / Q000293:injuries; D005402:Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006928:Hyoid Bone; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D010614:Pharynx / Q000293:injuries; D012086:Reoperation; D016103:Spinal Fractures / Q000601:surgery*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed