Rupture of the Cervical Esophagus and Trachea Associated with Cervical Spine Fracture

Reddin, Annamarie; Diaconis, John N.

doi:10.1097/00005373-198705000-00018

Cited by 35 publications

(11 citation statements)

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“…Esophageal perforation caused by a fracture of the thoracic spine is so rare that it has never previously been reported in the literature. However, there are reports about cervical spine fractures that caused injuries to the hypopharynx and the cervical esophagus [2,5,12,13,16]. Both the diagnosis and treatment of thoracic esophageal injuries can be very problematic.…”

Section: Introductionmentioning

confidence: 99%

Fracture of the thoracic spine with paralysis and esophageal perforation

1997

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A 17-year-old young man presented with a highly unstable fracture dislocation of the third and fourth thoracic vertebrae with neurological deficit, in which the fractured spine had perforated the thoracic esophagus. Open reduction and internal fixation of the spinal fractures in combination with aggressive treatment of the mediastinitis caused by esophageal perforation, consisting of two re-thoracotomies, was performed. Two years after the accident, the patient had recovered well. The neurological deficit had recovered, and there were no difficulties with swallowing.

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Section: Introductionmentioning

confidence: 99%

Fracture of the thoracic spine with paralysis and esophageal perforation

1997

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“…Reddin et ai, 3 Tomaszek and Rosner, 4 Pollock et als and Stringer et al6 described oesophageal perforations associated with cervical spine fractures and the mechanism of the oesophageal injury. Blunt trauma to the neck has been associated with perfora tion of the oesophagus.…”

Section: Discussionmentioning

confidence: 99%

“…The inci dence of these problems is unknown; however, a search of the literature with the Medical Literature Analysis and Retrieval System (MEDLARS) database from 1900 to the present time revealed 32 patients with cervical fractures from blunt trauma who also had an oesophageal perforation. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] This investigation of the literature also revealed that oesophageal injuries are more common with penetrating neck injuries than from blunt trauma.…”

Section: Introductionmentioning

confidence: 99%

Oesophageal trauma in patients with spinal cord injury

et al. 1992

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Oesophageal perforations associated with cervical fractures occur from a variety of injuries. Fractures of the cervical spine, blunt trauma and penetrating injuries such as gunshot wounds, knives and missiles, perforate the cervical oesophagus. This retrospective study consists of 24 patients with an oesophageal perforation and cervical fracture. Motor vehicle accidents were responsible for 54% of the oesophageal perforations. The other oesophageal injuries were related to ante rior spine surgery, gunshot wounds and sports-related activities. The clinical features related to these injuries included the obvious signs of an oesophageal perforation as well as fever of unknown origin, leukocytosis and unexplained persistent tachycardia. A variety of techniques was used to establish the diagnosis. All the patients had treatment for the cervical fracture and 20 patients required surgical repair of the oesophagus. The most common oesophageal complications were stricture of the oesophagus (54%) and oesophageal diver ticulum (10%). The other complications were atelectasis, pneumonia, tracheo bronchitis, pulmonary embolism, cervical osteomyelitis, cervical abscess, medias tinitis, septicemia and cervical fistulae. These patients have a serious life threatening illness that may be difficult to diagnose and treat.

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“…4 Blunt traumatic rupture of the esophagus is rare. 23 Physical examination is not reliable as a screening test because 25% to 30% of patients with pharyngoesophageal injuries are asymptomatic. Symptoms of oesophageal injury include dysphagia, haematemesis, hoarseness and odynophagia.…”

Section: Pharyngoesophageal Injuriesmentioning

confidence: 99%

Role of CT in evaluating upper aerodigestive tract injuries

Magu¹,

Agrawal²,

Kakkar³

2006

Med J Indones

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AbstrakStudi ini bertujuan menilai peranan CT pada cedera saluran aerodigestif bagian atas. Dua Abstract This study was aimed to assess the role of CT in upper aerodigestive tract injuries. Twenty six patients presenting with upper aerodigestive tract injury were examined by CT. Nineteen patients had blunt trauma to the neck while seven had penetrating injury. Most of the patients presented soon after injury. Symptoms included respiratory distress (14), neck tenderness (18), hoarseness (7), haemoptysis (2) and odynophagia (3). Soft tissue injuries were seen in 8 patients

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Rupture of the Cervical Esophagus and Trachea Associated with Cervical Spine Fracture

Cited by 35 publications

References 0 publications

Fracture of the thoracic spine with paralysis and esophageal perforation

Fracture of the thoracic spine with paralysis and esophageal perforation

Oesophageal trauma in patients with spinal cord injury

Role of CT in evaluating upper aerodigestive tract injuries

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