PHARYNGOESOPHAGEAL INTUBATION INJURIES - 3 CASE-REPORTS

被引：26

作者：

TARTELL, PB

HOOVER, LA

FRIDUSS, ME

ZUCKERBRAUN, L

机构：

[1] Division of Head and Neck Surgery, UCLA Medical Center, Los Angeles, CA

[2] the Division of Head and Neck Surgery, Olive View Medical Center, Sylmar, CA

来源：

AMERICAN JOURNAL OF OTOLARYNGOLOGY | 1990年 / 11卷 / 04期

关键词：

intubation; pharyngoesophageal perforation; sternocleidomastoid flap;

D O I：

10.1016/0196-0709(90)90086-B

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The hypopharynx and cervical esophagus are particularly vulnerable to intubation trauma. Contributing factors include hasty intubation by inexperienced personnel; the use of curved, beveled endotracheal tubes containing stylets; malpositioning of the head, and the application of cricoid pressure. latrogenic pharyngoesophageal perforations may go unsuspected until characteristic signs and symptoms are recognized. These include cervical pain, fever, dysphagia, leukocytosis, subcutaneous emphysema, and pneumomediastinum. We present three cases that illustrate important points in recognizing, evaluating, and treating pharyngoesophageal perforations. The third case presents a chronic cervical esophageal perforation with secondary pseudodiverticulum, requiring resection of the pseudodiverticulum and a primary sternocleidomastoid muscle flap repair of the cervical esophageal defect. To our knowledge, this technique has not previously been reported. © 1990.

引用

页码：256 / 260

页数：5

共 25 条

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