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Journal of Korean Neurosurgical Society > Volume 22(4); 1993 > Article
Journal of Korean Neurosurgical Society 1993;22(4): 558-561.
Esophageal Perforation Following Anterior Cervical Spine Surgery: Case Report.
Ji Ho Yang, Sin Soo Jeon, Kyung Jin Lee, Woo Hyun Sung, Chang Rak Choi
Department of Neurosurgery, Catholic Medical College, Seoul, Korea.
ABSTRACT
The authors experienced 4 cases of esophageal perforations following anterior cervical spine surgery. All occurred within a few days in the postoperative period. Diagonosis was made by clinical suspision and confirmed by esophography or reexploration. This complication attributed to sharp blade penetration of a retraction during surgery, infection and use of hardware. 3 cases were successfully treated by drainage, tube feeding and parenteral antibiotics. But unfortunately, 1 case was fatality. Although conservative treatment is required prolonged hospitalization, drainage, tube feeding and parenteral antibiotics are recommended treatment.
Key Words: Anterior cervical spine surgery; Esophageal perforation; Diagnosis; Conservative treatment
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