Esophagus atresia after cervical spine surgery: case report and literature review
Rainer O Seidl1, Ingo Todt, Arne Ernst
1Department of Otolaryngology, Head and Neck Surgery at UKB, Free University of Berlin, 12683, Berlin, Germany. ROSeidl@UKB.DE
Abstract:
We report on a case of esophageal atresia following cervical spine surgery. A swallowing examination was performed using fibre-optic endoscopy and videofluoroscopy. There was scar tissue fixation of the larynx and esophagus to the cervical spine. Operative mobilization of the larynx and esophagus and formation of a sliding layer using a platysma-fascia flap was done. The PEG and tracheal cannula were removed; oral nutrition was initiated after 3 months. Swallowing disorders following operations on the upper cervical spine should be investigated. Careful preparation that preserves the layers should be carried out. Fixation of tissues as a result of scarring should be treated with a sliding layer.
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