Yoon Byung-Woo, Yi Keun-Ik, Kang Ji-Hun, Kim Soon Gu, Cha Wonjae
Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea.
Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, Busan, Republic of Korea; Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Auris Nasus Larynx. 2015 Jun;42(3):254-7. doi: 10.1016/j.anl.2014.11.003. Epub 2014 Dec 12.
Perforation of the cervical esophagus is a rare but life-threatening condition. Cervical esophageal perforation with abscess formation can be usually treated with conservative treatments of simple drainage and antibiotics. Aggressive surgical treatments are considered if conservative treatments fail. But the aggressive treatments have low success rate and high morbidity in cervical esophageal perforation. Negative pressure wound therapy (NPWT) was widely used in various complicated wounds, such as diabetic foot ulcers, open abdomen, pressure ulcers, open fractures, sterna wounds, grafts, and flaps since it had been introduced in 1997. NPWT is known to be a valuable tool in the management of various complicated wounds. In this report, we described a case of intractable cervical esophageal perforation with abscess, which was successfully treated with NPWT after the failure of conservative management.
颈段食管穿孔是一种罕见但危及生命的疾病。伴有脓肿形成的颈段食管穿孔通常可采用单纯引流和抗生素的保守治疗。如果保守治疗失败，则考虑积极的手术治疗。但在颈段食管穿孔中，积极治疗的成功率低且发病率高。自1997年负压伤口治疗（NPWT）被引入以来，它已广泛应用于各种复杂伤口，如糖尿病足溃疡、开放性腹部、压疮、开放性骨折、胸骨伤口、移植和皮瓣。NPWT是治疗各种复杂伤口的一种有价值的工具。在本报告中，我们描述了一例伴有脓肿的难治性颈段食管穿孔病例，该病例在保守治疗失败后采用NPWT成功治愈。
