在前硬件挤出后延迟的手术后侵蚀下鼻:一个病例报告
Dimitrios Papadakos1, Dionysia Fermeli1, Panagiotis Tsipouriaris1
1Department of Neurosurgery, University Hospital of Patras, Patras, Greece.
Surgical neurology international
|March 12, 2024
概括
手术后两年,前宫可扩展迁移,导致下喉透. 进行了快速的子切除,没有直接的食道穿孔,突出了前宫切除/融合的潜在延迟并发症.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
背景情况:
- 前宫皮切除/融合 (ACF) 可能导致严重的食道或喉穿孔.
- 这些并发症通常在手术期间或手术后几天内被发现.
- 在术后两年发生了一种罕见的,延迟的前扩展的后挤出病例.
研究的目的:
- 报告一个独特的延迟前子可扩展子后膜挤出病例.
- 讨论ACF后晚发性食道或喉并发症的诊断和管理挑战.
主要方法:
- 一名76岁的男性呈现出食障碍,成像证实了前迁移.
- 发现子在输管过程中已经穿透了下喉.
- 进行了子的外科切除,随后由耳鼻喉专家进行评估.
主要成果:
- 在ACF发生两年后,前子可扩展迁移,导致下喉透.
- 在子被移除后,食道或鼻穿孔并没有直接可视化,这表明自发关闭.
- 在子切除后,患者的消化不良症得到解决.
结论:
- 椎脊椎仪器的延迟后挤出是一种罕见但严重的并发症.
- 虽然往往与即时的发病率有关,但晚期迁移可以潜伏地呈现.
- 术前评估,包括先进的成像和耳鼻科医生咨询,可以帮助减轻风险.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
63
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
63
Esophageal Strictures-I: Introduction
99
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
99
Esophageal Strictures-II: Clinical Features and Management
70
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
70
Esophageal Perforation-I: Introduction
94
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
94


