Radial Forearm Flap for Esophageal Perforation After Anterior Cervical Hardware Removal: Surgical Technique and Case Report.
Abstract
[CASE] A 51-year-old woman, who had previously undergone C5-C7 anterior cervical discectomy and fusion, presented with symptomatic hardware failure and subsequently underwent instrumentation removal. Her postoperative course was complicated by an esophageal perforation. Despite initial repair using a rotational flap, the leak persisted, prompting esophageal reconstruction with a radial forearm free flap (RFFF).
[CONCLUSION] Persistent esophageal perforation is exceedingly rare and difficult to treat. This report discusses the surgical technique for RFFF, an excellent option for revising failed sternocleidomastoid rotational flaps. The decision between rotational repair and free flap reconstruction depends on factors such as defect size, vascularization, wound condition, and donor site morbidity.
[CONCLUSION] Persistent esophageal perforation is exceedingly rare and difficult to treat. This report discusses the surgical technique for RFFF, an excellent option for revising failed sternocleidomastoid rotational flaps. The decision between rotational repair and free flap reconstruction depends on factors such as defect size, vascularization, wound condition, and donor site morbidity.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 2 | |
| 시술 | radial forearm flap
|
피판재건술 | dict | 1 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | Esophageal
|
scispacy | 1 | ||
| 해부 | sternocleidomastoid
|
scispacy | 1 | ||
| 합병증 | esophageal
|
scispacy | 1 | ||
| 합병증 | flaps
|
scispacy | 1 | ||
| 합병증 | wound
|
scispacy | 1 | ||
| 질환 | Esophageal Perforation
|
C0014860
Esophageal Perforation
|
scispacy | 1 | |
| 기타 | Anterior Cervical
|
scispacy | 1 |
MeSH Terms
Humans; Female; Middle Aged; Esophageal Perforation; Cervical Vertebrae; Spinal Fusion; Device Removal; Forearm; Free Tissue Flaps; Diskectomy; Postoperative Complications
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