title: Negative pressure wound therapy for cervical esophageal perforation with abscess.
abstract: Perforation of the cervical esophagus is a rare but life-threatening condition. Cervical esophageal perforation with abscess formation can be usually treated with conservative treatments of simple drainage and antibiotics. Aggressive surgical treatments are considered if conservative treatments fail. But the aggressive treatments have low success rate and high morbidity in cervical esophageal perforation. Negative pressure wound therapy (NPWT) was widely used in various complicated wounds, such as diabetic foot ulcers, open abdomen, pressure ulcers, open fractures, sterna wounds, grafts, and flaps since it had been introduced in 1997. NPWT is known to be a valuable tool in the management of various complicated wounds. In this report, we described a case of intractable cervical esophageal perforation with abscess, which was successfully treated with NPWT after the failure of conservative management.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea.
authors.forename: Byung-Woo
authors.initials: BW
authors.lastname: Yoon
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea.
authors.forename: Keun-Ik
authors.initials: KI
authors.lastname: Yi
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea.
authors.forename: Ji-Hun
authors.initials: JH
authors.lastname: Kang
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea.
authors.forename: Soon Gu
authors.initials: SG
authors.lastname: Kim
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea; Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea. Electronic address: cha.wonjae@gmail.com.
authors.forename: Wonjae
authors.initials: W
authors.lastname: Cha
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods; D004939:Esophageal Perforation / Q000209:etiology / Q000628:therapy*; D004947:Esophagus / Q000601:surgery*; D005547:Foreign Bodies / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D009333:Neck; D054843:Negative-Pressure Wound Therapy / Q000379:methods*; D017703:Retropharyngeal Abscess / Q000209:etiology / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Abscess; Cervical esophageal perforation; Neck; Negative pressure wound therapy