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Successful surgical management of a delayed pharyngo-esophageal perforation after anterior cervical spine plating |
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| Authors: | Solerio Dino Ruffini Enrico Gargiulo Giosu&#; Camandona Michele Raggio Eleonora Solini Antonio Dei Poli Marcello |
| Institution: | 1.General Surgery 3, San Giovanni Battista Hospital, University of Turin, via Genova 3, 10126, Turin, Italy ;2.Thoracic Surgery, San Giovanni Battista Hospital, University of Turin, Turin, Italy ;3.Orthopaedic Surgery, San Giovanni Battista Hospital, University of Turin, Turin, Italy ; |
| Abstract: | A case report of a 41-year-old man who had a delayed pharyngo-esophageal perforation without instrumentation failure 7 years after anterior cervical spine plating is presented and the literature on this issue is reviewed. This injury resulted from repetitive friction/traction between the retropharyngo-esophageal wall and the cervical plate construct leading to a pseudodiverticulum and perforation. Successful treatment of the perforation was obtained after surgical repair using a sternocleidomastoid muscle flap. This case stresses the necessity of careful long-term follow-up in patients with anterior cervical spine plating for early detection of possible perforation and the use of muscle flap as the treatment of choice during surgical repair. |
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