Abstract
Esophageal injury is a serious complication of anterior cervical fusion. A team approach to the management of these cases is described. The authors performed spinal assessment, control of the fistula, and interposition of a vascularized flap between the spine and the esophagus. They compared the overall efficacy of the pectoralis major flap (pedicled; two cases) and omental flap (free; two cases).
MeSH terms
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Adolescent
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Aged
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Esophageal Fistula / diagnosis
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Esophageal Fistula / etiology
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Esophageal Fistula / surgery*
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Esophageal Perforation / diagnosis
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Esophageal Perforation / surgery
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Female
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Humans
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Iatrogenic Disease
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Magnetic Resonance Imaging
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Male
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Microsurgery
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Postoperative Complications / diagnosis
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Postoperative Complications / etiology
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Postoperative Complications / surgery*
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Recurrence
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Reoperation
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Spinal Fusion / adverse effects*
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Surgical Flaps*