Repair of esophageal perforation due to anterior cervical spine instrumentation.
The complication of esophageal perforation after anterior cervical spine fusion for cervical spine disease is rare but potentially fatal. We describe two cases of esophageal perforation found by esophagoscopic visualization. In one patient, primary closure could not be achieved, and a submental island flap was used to repair the defect. In the second patient, primary closure was achieved and a pectoralis major flap was interposed between the closure and the residual instrumentation. Postoperatively, both patients had no evidence of persistent perforation and had resolution of preoperative symptoms.
Division of Otolaryngology, Head and Neck Surgery, Mayo Clinic, Scottsdale, Arizona, USA.
Ryan L
RL
Kau
Namou
N
Kim
Michael L
ML
Hinni
Naresh P
NP
Patel
D000368:Aged; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D004939:Esophageal Perforation / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation; D010024:Osteoporosis / Q000175:diagnosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016103:Spinal Fractures / Q000175:diagnosis / Q000601:surgery; D013123:Spinal Fusion / Q000009:adverse effects* / Q000295:instrumentation; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D055815:Young Adult