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Titolo:
DIAGNOSIS AND MANAGEMENT OF EXTERNAL PENETRATING CERVICAL ESOPHAGEAL INJURIES
Autore:
ARMSTRONG WB; DETAR TR; STANLEY RB;
Indirizzi:
UNIV WASHINGTON,DEPT OTOLARYNGOL HEAD & NECK SURG SEATTLE WA 98195 UNIV CALIF LOS ANGELES,DEPT OTOLARYNGOL HEAD & NECK SURG LOS ANGELES CA 00000
Titolo Testata:
The Annals of otology, rhinology & laryngology
fascicolo: 11, volume: 103, anno: 1994,
pagine: 863 - 871
SICI:
0003-4894(1994)103:11<863:DAMOEP>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
SURGICAL-MANAGEMENT; PERFORATION; TRAUMA; WOUNDS; BLUNT;
Keywords:
DIAGNOSIS; ESOPHAGUS; MANAGEMENT; TRAUMA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
W.B. Armstrong et al., "DIAGNOSIS AND MANAGEMENT OF EXTERNAL PENETRATING CERVICAL ESOPHAGEAL INJURIES", The Annals of otology, rhinology & laryngology, 103(11), 1994, pp. 863-871

Abstract

External penetrating injuries of the esophagus are more likely to cause serious morbidity and even mortality than those involving the pharynx. However, the cervical esophagus is extrathoracic in location, and controversy exists regarding the diagnosis and surgical management of penetrating injuries at this level. A retrospective review of 23 such injuries showed that contrast esophagography had only a 62% success rate in identification of cervical esophageal violations, compared to 100% for rigid esophagoscopy. Even large penetrations were successfully treated with limited debridement, primary repair when possible, muscleinterposition flaps to separate common injuries of the tracheal wall,and, most important, external drainage of the adjacent neck spaces. Esophageal stricture occurred only when complex esophageal diversion procedures were performed, either as an unnecessary primary operation, or as a lifesaving secondary operation necessitated by infectious complications caused by delayed diagnosis and treatment of the esophageal violation. Penetrating injuries of the cervical esophagus can thereforebe managed more as a pharyngeal injury if diagnosis and appropriate surgical treatment occur in a timely fashion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 05:44:16