title: Superior omohyoid muscle flap repair of cervical esophageal perforation induced by spinal hardware.
abstract: Cervical esophageal perforation is a rare and life-threatening condition. Its prompt diagnosis and treatment require a high index of suspicion. Cervical spine hardware is an uncommon cause of posterior esophageal perforation. Management has included a variety of musculofascial flaps for surgical repair. We present 2 cases of cervical esophageal perforation induced by spinal hardware that were repaired with a superior omohyoid muscle (SOM) flap for closure and/or primary closure reinforcement. Advantages and techniques of the SOM flap are discussed.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University of Kansas Medical Center, 3901 Rainbow Blvd., Mailstop 3015, Kansas City, KS 66213, USA. csurek@kumc.edu.
authors.forename: Christopher Chase
authors.initials: CC
authors.lastname: Surek
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Girod
mesh_terms: D000369:Aged, 80 and over; D017577:Cutaneous Fistula / Q000209:etiology / Q000601:surgery*; D004937:Esophageal Fistula / Q000209:etiology / Q000601:surgery*; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000637:transplantation*; D013123:Spinal Fusion / Q000295:instrumentation*; D013524:Surgical Flaps