Tiba M*, Hasaballah M, Askoura A and Kassamy H
Abstract:
Introduction: Management of pharyngo-esophageal tears is challenging as it can end in mediastinitis and/or carotid blow out. Pharyngo-esophageal tears accompanied by suppuration or other neck’s vital structures injuries are more complicated.
Patients and Methods: This study addressed the use of non-vascularized autologous fascia lata graft in addition to a pedicled sternomastoid flap as a second layer in the repair of wide, primary irreparable pharyngeal tears. This was done to four patients with pharyngeal tears at Ain Shams University Hospitals, Cairo, Egypt. Pre and post-operative laryngeal examination, CT scan neck with contrast swallow were done.
Results: All patients showed complete closure of the pharyngeal tear. The harvesting of the grafts produced neither functional deficits nor complications at the donor site.
Discussion: The procedure was found to be effective with complete sealing of the tear as proved clinically and radiologically.
Introduction: Management of pharyngo-esophageal tears is challenging as it can end in mediastinitis and/or carotid blow out. Pharyngo-esophageal tears accompanied by suppuration or other neck’s vital structures injuries are more complicated.
Patients and Methods: This study addressed the use of non-vascularized autologous fascia lata graft in addition to a pedicled sternomastoid flap as a second layer in the repair of wide, primary irreparable pharyngeal tears. This was done to four patients with pharyngeal tears at Ain Shams University Hospitals, Cairo, Egypt. Pre and post-operative laryngeal examination, CT scan neck with contrast swallow were done.
Results: All patients showed complete closure of the pharyngeal tear. The harvesting of the grafts produced neither functional deficits nor complications at the donor site.
Discussion: The procedure was found to be effective with complete sealing of the tear as proved clinically and radiologically.
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