Penetrating pharynx wound reaching mediastinum. Which is the proper surgical approach?
Main Article Content
Abstract
We report the case of a knife penetrating wound from the hypopharynx-cervical esophagus area to the posterior mediastinum in a 91-year-old patient. The surgical approach for this patient required a transoral examination with direct laryngoscopy and a right cervicotomy. Although it was not necessary to perform a thoracotomy, the position of the knife, stuck towards the posterior mediastinum, made the presence of an interdisciplinary team in the operating room necessary.
Downloads
Article Details
Copyright (c) 2021 Rivero Fernández I, et al.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Soose RJ, Carrau RL (2012) Penetrating Trauma to the Hypopharynx and Cervical Esophagus. In Operative Otolaryngology: Head and Neck Surgery. Elsevier 451–457. Link: https://bit.ly/3e9Lfbh
Putnam JB (2012) Lung, Chest Wall, Pleura, and Mediastinum. In Sabiston Textbook of Surgery. Elsevier 1564–1610. Link: https://bit.ly/3vHdpjT
Conradie WJ, Gebremariam FA (2015) Can computed tomography esophagography reliably diagnose traumatic penetrating upper digestive tract injuries? Clin Imag 39: 1039–1045. https://bit.ly/336oajv
Spira R, Bolanos R (1988) Perforation of the hypopharynx: Demonstration by computerized tomography. Southern Medical Journal 81: 658–659. https://bit.ly/2PHxKWL
Fetterman BL, Shindo ML, Stanley RB, Armstrong WB, Rice DH (1995) Management of traumatic hypopharyngeal injuries. Laryngoscope 105: 8-13. Link: https://bit.ly/336MVMr
Stanley RB, Armstrong WB, Fetterman BL, Shindo ML (1997) Management of external penetrating injuries into the hypopharyngeal- cervical esophageal funnel. In Journal of Trauma - Injury, Infection and Critical Care. Lippincott Williams and Wilkins 42: 675–679. https://bit.ly/3tadScx
Skinner DB, Little AG, DeMesster TR (1980) Management of esophageal perforation. Am J Surg 139: 760-764.
Link: https://bit.ly/2RdVget
Skinner DB, Little AG, DeMesster TR (1980) Management of esophageal perforation. Am J Surg 139: 760-764.
Link: https://bit.ly/2RdVget
Athanassiadi KA (2009) Infections of the Mediastinum. Thoracic Surgery Clinics. Link: https://bit.ly/3vFva2K
Elia S, End A, Canalis E, Lode H, Granai AV, et al. (2013) Mediastinitis: Causes, management and outcomes. European Respiratory Monograph 61: 122–140. Link: https://bit.ly/3nLrhqn
Grometti N, Nwokolo N, Kershaw E, Whitelock G (2016) Adverse events of dolutegravir may be higher in real world settings. HIV Medicine 17: 22–23. Link: https://bit.ly/33bMFvs
(2017) Neuropsychiatric adverse events associated with integrase strand transfer inhibitors. Topics in Antiviral Medicine 25: 149s-150s.
Pinto FR, Durazzo MD, Cordeiro AC, Ferraz AR (2000) Cervical perforating foreign body: case report. Revista Da Associacao Medica Brasileira 46: 77–80.
Wall MJ, Mattox KL, DeBakey ME (2006) Injuries to the azygous venous system. Journal of Trauma - Injury, Infection and Critical Care 60: 357–362. https://bit.ly/3ufFs9A