Four Cases of Delayed Pharyngo-esophageal Perforation Following Anterior Cervical Plate Fixation
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- Kitanaka Mari
- Shiga General Hospital
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- Kishimoto Yo
- Graduate School of Medicine, Kyoto University
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- Ohtani Toshiaki
- Kokura Memorial Hospital
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- Fujimura Shintaro
- Graduate School of Medicine, Kyoto University
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- Kawai Yoshitaka
- Graduate School of Medicine, Kyoto University
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- Honda Keigo
- Graduate School of Medicine, Kyoto University
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- Suehiro Atsushi
- Graduate School of Medicine, Kyoto University
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- Kikuchi Masahiro
- Graduate School of Medicine, Kyoto University
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- Omori Koichi
- Graduate School of Medicine, Kyoto University
Bibliographic Information
- Other Title
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- 頸椎前方固定術後に遅発性咽頭・食道穿孔をきたした4例
- ケイツイ ゼンポウ コテイ ジュツゴ ニ チハツセイ イントウ ・ ショクドウ センコウ オ キタシタ 4レイ
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Abstract
<p>Anterior cervical plate fixation is a common surgical procedure for cervical spinal disease. However, it sometimes causes serious complications. Pharyngo-esophageal perforation following anterior cervical plate fixation is a rare complication, but associated with severe morbidity. Pharyngo-esophageal perforation often occurs in the acute phase during surgery or within a few months after surgery. However, we encountered 4 cases of delayed perforation developing more than 3 years after the surgery. The chief complaint was dysphagia in two cases, and one case was asymptomatic. There are as yet no clear guidelines for the treatment of pharyngo-esophageal perforation following anterior cervical plate fixation. We performed primary closure in two of the patients and flap reconstruction in the remaining patient. Flap reconstruction was considered in the case with large perforation and anterolateral thigh free flaps were used. In all cases, the perforation was closed and oral intake became possible. Pharyngo-esophageal perforations that occur long after anterior cervical plate fixation may be associated with fewer symptoms, and it is therefore important to bear the possibility in mind, especially in patients who present with dysphagia.</p>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 116 (11), 1103-1110, 2023
The Society of Practical Otolaryngology
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Keywords
Details 詳細情報について
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- CRID
- 1390016504861604864
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL BIB ID
- 033149419
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed