Bohndorf M
Universitäts-HNO-Klinik Tübingen.
Laryngorhinootologie. 1995 Dec;74(12):768-71. doi: 10.1055/s-2007-997842.
The long-term complication of an anastomotic stenosis with a poststenotic diverticulum in the case of lye chemical burn of the esophagus at the age of 2 prompted us to present this very rare case, in which 35 years ago the defect was bridged with a section of colon.
In case in point, secondary surgical correction was performed six years after the accident. Thirty-five years later, our patient developed a stenosis of the proximal esophagus which made surgical intervention necessary.
In this paper, we describe the problems caused by chemical burns in this case (lye), the surgical treatment, and possible complications.
Reliable procedures include reconstruction with a jejunal transplant, pectoralis major flap, microvascular myocutaneous flap, and retrosternal plastic surgery of the colon. A report on diagnostic procedure and operative care is presented.
一名2岁时因烧碱化学性烧伤食管而出现吻合口狭窄并伴有狭窄后憩室的长期并发症，促使我们呈现这一极为罕见的病例，该病例于35年前用一段结肠修复了缺损。
就此病例而言，事故发生6年后进行了二次手术矫正。35年后，我们的患者出现了食管近端狭窄，这使得手术干预成为必要。
在本文中，我们描述了该病例（烧碱）化学性烧伤所引发的问题、手术治疗及可能出现的并发症。
可靠的手术方法包括空肠移植重建、胸大肌皮瓣、微血管肌皮瓣以及结肠胸骨后整形手术。本文还给出了关于诊断方法及手术护理的报告。
