Pharyngo-esophageal risk of surgery of the cervical spine using an anterior approach

Crampette, L.; Mondain, M.; Guerrier, B.; Fuentes, J.M.; Segnarbieux, F.

Annales d'Oto-Laryngologie et de Chirurgie Cervico Faciale Bulletin de la Societe d'Oto-Laryngologie des Hopitaux de Paris 106(7): 491-495

1989


ISSN/ISBN: 0003-438X
PMID: 2589750
Document Number: 328176
The authors report six cases of pharyngo-oesophageal damage associated with fractures of the cervical spine treated by osteo-synthesis via the anterior route. These complications, not previously described, may have life threatening (especially mediastinitis) and functional consequences. They discuss the relative responsibility of: the initial trauma, which should be better defined by an initial endoscopic assessment. the surgical approach, the principles of which and its dangers and preventive aspects are discussed, early or late fixation failure justifying careful surveillance of the osteosynthesis material and in certain cases its systematic removal.

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