Management of Concurrent Tracheo-esophageal Perforation

Vahidi, Nima; Edelmayer, Luke; Kazi, Aasif A.; MD/FACS*, Thomas S. Lee

doi:10.5281/zenodo.3977829

Cited by 1 publication

(2 citation statements)

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“…The simultaneous tracheo-oesophagal perforation following anterior cervical surgery is an extremely rare complication [11]. While oesophagal perforation is a known complication of anterior cervical surgery, tracheal injury is thought to result from pressure in the posterior tracheal wall, a less common complication of anterior cervical surgery [11,12]. Tracheo-oesophagal perforations can be treated conservatively or operatively [11].…”

Section: Discussionmentioning

confidence: 99%

“…While oesophagal perforation is a known complication of anterior cervical surgery, tracheal injury is thought to result from pressure in the posterior tracheal wall, a less common complication of anterior cervical surgery [11,12]. Tracheo-oesophagal perforations can be treated conservatively or operatively [11]. The choice of treatment depends on the location, size, and factors such as mechanical ventilation, a contraindication for surgical repair [12].…”

Section: Discussionmentioning

confidence: 99%

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Cervical Diffuse Idiopathic Skeletal Hyperostosis: Rare Cause of Emergency Tracheostomy

Kosmidou¹,

Karamatzanis²,

Angelis³

et al. 2022

Cureus

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Diffuse idiopathic skeletal hyperostosis (DISH) is a rare and potentially life-threatening syndrome. We present the case of a patient complaining about severe dyspnoea and diagnosed with vocal cord paresis. An emergency tracheotomy was performed to restore his breathing. Diagnostic imaging revealed large massoccupying cervical osteophytes compressing the larynx. The osteophytes were removed via an anterior cervical approach, and vital signs were normalized. However, postoperatively, a fistula was discovered between the upper part of the oesophagus and the trachea. As a result, a gastrostomy tube had to be placed indefinitely. Literature review confirms the rare frequency of emergency tracheostomy due to DISH syndrome. The aim of the present study is to expand on our knowledge of a rare pathological entity that can frequently be misdiagnosed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%