Treatment of Endoscopic Perforation of the Hypopharynx and Cervical Esophagus

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  • Aso Takeichiro
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Umeno Hirohito
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Sano Hiroki
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Nagata Kei
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Maeda Akiteru
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Chitose Shunichi
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine
  • Nakashima Tadashi
    Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine

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Other Title
  • 内視鏡による咽頭・頸部食道損傷とその処置についての検討
  • ナイシキョウ ニ ヨル イントウ ・ ケイブ ショクドウ ソンショウ ト ソノ ショチ ニ ツイテ ノ ケントウ

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Abstract

We reviewed 6 patients with hypopharyngeal and cervical esophageal perforation caused by endoscopy treated from 1981 through 2010 at Kurume University Hospital.<br>The standard treatment of hypopharyngeal and cervical esophageal perforation is to operate, preferably as soon as possible, with primary suture of the perforation performed when possible. If the patient has neck abscess, perihypopharyngeal abscess, periesophageal abscess, etc, the operative wound should be opened, and oral administration of food should be started when possible. Also, the operative wound may be successively closed if there are no problems. However, if the patient has an infectious wound without neck abscess, we think that creating a pharyngocutaneous fistula and treating the wound could be undertaken comparatively soon and would be sure to close.

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