title: Otolaryngologic management of delayed pharyngoesophageal perforation following anterior cervical spine surgery.
abstract: Delayed pharyngoesophageal perforation is a rare complication following anterior cervical spine surgery. Patients usually present weeks to years after surgery with vague symptoms, such as dysphagia and neck pain. We report five cases of delayed pharyngoesophageal perforation following anterior cervical spine surgery with hardware fixation. Successful surgical management of these patients required removal of hardware and closure of the defect supported with a vascularized flap.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of South Florida, Tampa, Florida, USA. vphommac@hsc.usf.edu
authors.forename: Viengsouk
authors.initials: V
authors.lastname: Phommachanh
authors.forename: Yash J
authors.initials: YJ
authors.lastname: Patil
authors.forename: Thomas V
authors.initials: TV
authors.lastname: McCaffrey
authors.forename: Fernando
authors.initials: F
authors.lastname: Vale
authors.forename: Thomas B
authors.initials: TB
authors.lastname: Freeman
authors.forename: Tapan A
authors.initials: TA
authors.lastname: Padhya
mesh_terms: D000328:Adult; D001863:Bone Screws / Q000009:adverse effects*; D002574:Cervical Vertebrae / Q000293:injuries* / Q000601:surgery*; D020878:Device Removal; D004939:Esophageal Perforation / Q000175:diagnosis / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000293:injuries*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000601:surgery*; D013123:Spinal Fusion / Q000009:adverse effects* / Q000295:instrumentation; D013167:Spondylitis, Ankylosing / Q000601:surgery*; D013524:Surgical Flaps