Management of an Unusual Avulsion Trauma of Total Esophagus During Upper Gastrointestinal Endoscopy.
Ann Plast Surg
; 90(1 Suppl 1): S81-S83, 2023 04 01.
Article
em En
| MEDLINE
| ID: mdl-37075298
ABSTRACT
BACKGROUND:
An esophageal defect usually resulted from surgical ablation of tumors or corrosive injury. Staged reconstructions are required usually in extensive defects. AIM ANDOBJECTIVES:
This study aimed to present a rare iatrogenic complication of total esophageal avulsion injury during upper gastrointestinal endoscopic treatment and to perform staged reconstructions to create a neoesophagus. MATERIALS ANDMETHODS:
In the presented case, staged reconstructions with a tubed deltopectoral flap and a supercharged colon interposition flap were performed to reconstruct the hypopharynx and esophagus. However, recurrent choking occurred because of the extent of injury involving the epiglottis. A tubed free radial forearm flap connected to the lower buccogingival sulcus was used to create a new route for food passage.RESULTS:
The patient resumed oral intake after rehabilitation.CONCLUSIONS:
The avulsion injury of the total esophagus is rare and devastating. Staged reconstructions with a tubed deltopectoral flap, a supercharged colon interposition flap, and a tubed free radial forearm flap would be a safe and reliable method.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos de Cirurgia Plástica
/
Esôfago
Limite:
Humans
Idioma:
En
Revista:
Ann Plast Surg
Ano de publicação:
2023
Tipo de documento:
Article