Department of Pediatric Surgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.
J Pediatr Surg. 2009 Dec;44(12):2402-5. doi: 10.1016/j.jpedsurg.2009.09.014.
Hypopharyngeal perforation secondary to blunt trauma is a rare injury. It can be managed operatively or expectantly without clear criteria for either approach. Here, we present a case of a 17-year-old adolescent boy who had a hypopharyngeal tear from direct blunt trauma to the anterior neck received during a high school football game. Physical examination demonstrated cervical crepitus, and neck radiograph revealed air in the retropharyngeal space. Rigid endoscopy diagnosed a 3-cm linear tear in the posterior hypopharynx. The tear was repaired transorally using laparoscopic instruments and visualized by a rigid endoscope, followed by anterior neck dissection and drain placement. Postoperatively, he was kept nil per os and received intravenous antibiotics. He was discharged home and returned to the football field the same fall.
咽后穿孔继发于钝性创伤是一种罕见的损伤。它可以通过手术或期待治疗来管理，两种方法都没有明确的标准。在这里，我们介绍了一个 17 岁青少年男孩的病例，他在高中足球比赛中颈部前侧受到直接钝性创伤，导致咽后撕裂。体格检查显示颈部捻发音，颈部 X 线片显示咽后间隙有空气。硬性内镜诊断为后咽 3cm 线性撕裂。撕裂通过腹腔镜器械经口修复，并通过硬性内镜观察，然后进行颈部前部分离和引流放置。术后，他禁食并接受静脉抗生素治疗。他出院回家，并在同年秋天回到足球场上。
