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European Spine Journal

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02.02.2016 | Review Article

Esophageal perforation after anterior cervical surgery: a review of the literature for over half a century with a demonstrative case and a proposed novel algorithm

verfasst von: Ferhat Harman, Erkan Kaptanoglu, Askin Esen Hasturk

Erschienen in: European Spine Journal | Ausgabe 7/2016

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Abstract

Purpose

To review relevant data for the management of esophageal perforation after anterior cervical surgery.

Methods

A case of delayed esophageal perforation after anterior cervical surgery has been presented and the relevant literature between 1958 and 2014 was reviewed. A total of 57 papers regarding esophageal perforation following anterior cervical surgery were found and utilized in this review.

Results

The treatment options for esophageal perforation after anterior cervical surgery were discussed and a novel management algorithm was proposed.

Conclusion

Following anterior cervical surgery, patients should be closely followed up in the postoperative period for risk of esophageal perforation. Development of symptoms like dysphagia, pneumonia, fever, odynophagia, hoarseness, weight loss, and breathing difficulty in patients with a history of previous anterior cervical surgery should alert us for a possible esophageal injury. Review of the literature revealed that conservative treatment is advocated for early and small esophageal perforations. Surgical treatment may be considered for large esophageal defects.

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Titel: Esophageal perforation after anterior cervical surgery: a review of the literature for over half a century with a demonstrative case and a proposed novel algorithm
verfasst von: Ferhat Harman
Erkan Kaptanoglu
Askin Esen Hasturk
Publikationsdatum: 02.02.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 7/2016
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-016-4394-7

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Esophageal perforation after anterior cervical surgery: a review of the literature for over half a century with a demonstrative case and a proposed novel algorithm

Abstract

Purpose

Methods

Results

Conclusion

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