经口内镜手术治疗颈椎前路手术后咽穿孔
Pharyngeal perforation after anterior cervical spine surgery treated by transoral endoscopic surgery.
作者信息
Rama-López Julio, Tomás-Fernandez Meritxell, García-Garza César, Martínez-Madrigal Milton
机构信息
Ear, Nose, and Throat Department, University Hospital Son Espases, Palma Mallorca, Spain.
Neurosurgery Department, University Hospital Son Espases, Palma Mallorca, Spain.
出版信息
Head Neck. 2018 Feb;40(2):E13-E16. doi: 10.1002/hed.25030. Epub 2017 Dec 5.
BACKGROUND
Anterior cervical fixation has been used since 1967 for multiple pathologies like traumatism, compressive myelopathy, or spinal infections.
METHODS
We report the case of a patient who had undergone cervical spine surgery 10 years previously and presented to our clinic with a pharyngeal fistula due to surgical screw displacement that was treated by transoral endoscopic surgery.
RESULTS
The immediate postoperative period occurred without incidence and complete odynophagia resolution. The patient was discharged home the fourth day after surgery. Follow-up after 1 year showed no evidence of spinal fixation hardware mobilization.
CONCLUSION
We consider the transoral endoscopic approach a feasible low comorbidity technique to treat anterior cervical plate mobilization with pharyngeal and pharyngoesophageal perforations.
背景
自1967年以来，颈椎前路固定术已被用于治疗多种病症，如创伤、压迫性脊髓病或脊柱感染。
方法
我们报告了一例患者，该患者10年前接受过颈椎手术，因手术螺钉移位导致咽瘘，前来我院就诊，接受了经口内镜手术治疗。
结果
术后即刻无并发症发生，吞咽疼痛完全缓解。患者术后第四天出院。1年随访显示无脊柱固定器械松动迹象。
结论
我们认为经口内镜入路是一种可行的、并发症少的技术，可用于治疗伴有咽和咽食管穿孔的颈椎前路钢板松动。
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