Pharyngeal perforation after anterior cervical spine surgery treated by transoral endoscopic surgery.

Pharyngeal perforation after anterior cervical spine surgery treated by transoral endoscopic surgery.

Head Neck. 2017 Dec 05;:

Authors: Rama-López J, Tomás-Fernandez M, García-Garza C, Martínez-Madrigal M

Abstract
BACKGROUND: Anterior cervical fixation has been used since 1967 for multiple pathologies like traumatism, compressive myelopathy, or spinal infections.
METHODS: We report the case of a patient who had undergone cervical spine surgery 10 years previously and presented to our clinic with a pharyngeal fistula due to surgical screw displacement that was treated by transoral endoscopic surgery.
RESULTS: The immediate postoperative period occurred without incidence and complete odynophagia resolution. The patient was discharged home the fourth day after surgery. Follow-up after 1 year showed no evidence of spinal fixation hardware mobilization.
CONCLUSION: We consider the transoral endoscopic approach a feasible low comorbidity technique to treat anterior cervical plate mobilization with pharyngeal and pharyngoesophageal perforations.

PMID: 29206327 [PubMed - as supplied by publisher]

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