Pharyngoesophageal barotrauma in children: A report of six cases

Conlan, A. Alan; Wessels, Andrew; Hammond, C.A.; Beale, P. G.; Katz, G

doi:10.1016/s0022-5223(19)38334-5

Cited by 4 publications

(4 citation statements)

References 2 publications

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“… 9 The posterior wall is the least supported part of the pharynx and is therefore most vulnerable to perforation. In our review, the pharynx was injured in 18 cases, 1 - 7 , 9 - 12 the pharynx and esophagus in 5 cases, 4 , 8 , 11 and the esophagus in 1 case. 8 Of 6 cases with esophageal injury, only one had lower esophageal perforation.…”

Section: Discussionmentioning

confidence: 86%

“… 8 Of 6 cases with esophageal injury, only one had lower esophageal perforation. 4 These findings suggest that the explosive pressure of a drink bottle may be insufficient to perforate the lower esophagus.…”

Section: Discussionmentioning

confidence: 98%

“…In the reported cases, there were 5 cases necessitating endotracheal intubation or a tracheotomy. 2 - 4 , 11 Subcutaneous emphysema of the neck may be seen on palpation and reflects perforation of the aerodigestive tract. Pneumomediastinum and pneumothorax may occur.…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatment was given in eight patients (33%, 8/24) with no mortality. 2 , 4 , 7 , 10 , 11 If cervical or mediastinal abscess is present, it should be drained externally. Supportive care includes prophylactic antibiotics, nasogastric feeding, and oxygen.…”

Section: Discussionmentioning

confidence: 99%

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Barotraumatic Perforation of Pharyngoesophagus by Explosion of a Bottle into the Mouth

Lee

Lim

2005

Yonsei Med J

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Pharyngoesophageal perforation from an exploding bottle is an extremely rare injury. To date, twenty-four cases have been documented in English literature. In this study, we reported two additional cases of pharyngoesophageal perforation by a bottle exploding in the mouth. Explosion of the bottle occurred when the patients removed the cap of a home-made wine bottle with their teeth, which resulted in pharyngoesophageal perforation. The patients were managed by conservative treatment and operative repair, respectively. Both patients had an uneventful recovery. Possible mechanisms and preventive measures are discussed in this study, along with a review of the literature.

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