TY - JOUR
T1 - A surgical alternative in the treatment of hypopharyngeal perforation
AU - Abboud, Nicolas M.
AU - Dziubek, Melvin
AU - Bogaert, Svetlana
AU - Ennaji, Meriem
AU - Spitaels, Julien
AU - Mendes, Vanessa Marron
AU - Fouarge, Alessandro
AU - Kuylen, Maarten Vander
AU - Cuylits, Nicolas
N1 - Publisher Copyright:
Copyright © 2022 The Authors.
PY - 2022/1/14
Y1 - 2022/1/14
N2 - Summary: Pharyngo-esophageal perforation is a rare, life-threatening complication of anterior cervical discectomy and fusion surgery with an incidence estimated to be between 0.2 and 1.51%. Early diagnosis and appropriate treatment of this complication is the key to reduce morbidity and mortality, as the main prognostic factor is the interval between the onset of the fistula, diagnosis and treatment. Conservative management has shown encouraging results in small and localized defects, whereas surgical approaches using flaps are to be considered for most of the cases. However, there is no clear consensus on the first choice of treatment in esophageal perforation. This case report presents the use of a supra-clavicular fascio-cutaneous pedicled propeller flap as a patch combined to primary repair of a hypopharyngeal perforation, 10 years after anterior cervical spine arthrodesis. (Plast Reconstr Surg Glob Open 2022;10:e4029; doi: 10.1097/GOX.0000000000004029; Published online 14 January 2022.)
AB - Summary: Pharyngo-esophageal perforation is a rare, life-threatening complication of anterior cervical discectomy and fusion surgery with an incidence estimated to be between 0.2 and 1.51%. Early diagnosis and appropriate treatment of this complication is the key to reduce morbidity and mortality, as the main prognostic factor is the interval between the onset of the fistula, diagnosis and treatment. Conservative management has shown encouraging results in small and localized defects, whereas surgical approaches using flaps are to be considered for most of the cases. However, there is no clear consensus on the first choice of treatment in esophageal perforation. This case report presents the use of a supra-clavicular fascio-cutaneous pedicled propeller flap as a patch combined to primary repair of a hypopharyngeal perforation, 10 years after anterior cervical spine arthrodesis. (Plast Reconstr Surg Glob Open 2022;10:e4029; doi: 10.1097/GOX.0000000000004029; Published online 14 January 2022.)
UR - http://www.scopus.com/inward/record.url?scp=85124157902&partnerID=8YFLogxK
U2 - 10.1097/GOX.0000000000004029
DO - 10.1097/GOX.0000000000004029
M3 - Article
AN - SCOPUS:85124157902
SN - 2169-7574
VL - 10
SP - E4029
JO - Plastic and Reconstructive Surgery - Global Open
JF - Plastic and Reconstructive Surgery - Global Open
IS - 1
ER -