Transoral closure of a perforation of the hypopharynx from blunt trauma

Pathak, Bhavana; Yu, David C.; Linden, Bradley C.

doi:10.1016/j.jpedsurg.2009.09.014

Cited by 10 publications

(9 citation statements)

References 22 publications

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“…8,18,19 Ultimately, direct visualization through endoscopy is the diagnostic gold standard, however, this may not be necessary in all cases. 21 The absence of management guidelines for a pharyngoesophageal injury, particularly for optimal operative management, probably results from the infrequent incidence of these injuries. Most recommendations are extrapolated from penetrating neck trauma experiences.…”

Section: Discussionmentioning

confidence: 99%

“…16 Historically, surgical treatment has been the preferred management of hypopharyngeal perforation secondary to blunt trauma. 19,21 Recently, a trend toward nonoperative treatment has been emerging which includes broad spectrum antibiotics, NPO status, parenteral nutrition, and follow-up imaging studies. 3,18,22 Criteria to select patients for nonoperative management are not well defined.…”

Section: Discussionmentioning

confidence: 99%

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Traumatic Hypopharyngeal Perforation from Football Helmet Chinstrap

Nyberg

Vasquez

Brown

et al. 2021

kjm

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Traumatic Hypopharyngeal Perforation from Football Helmet Chinstrap

Nyberg

Vasquez

Brown

et al. 2021

kjm

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“…All pharyngeal injuries were included due to anatomic overlap between oropharyngeal and hypopharyngeal injuries as well as ambiguity in terminology. We found a total of 29 cases published after 1964 8–32. Of these, 21 were reviewed in full, while limited data from the remaining eight were gathered from abstracts and other citations (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Pyriform sinus rupture caused by blunt trauma

Barkovich

Taheri

2020

Neuroradiol J

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Hypopharyngeal perforation (HP) is a potentially life-threatening condition most associated with iatrogenic injury and foreign body impaction. Additionally, a number of cases of posterior HP have been reported following blunt cervical trauma. We present a case of a construction accident causing lateral hypopharyngeal rupture. Visceral perforation was initially diagnosed on computed tomography (CT) imaging and managed conservatively. We speculate this region may be particularly vulnerable to injury due to an anatomic transition in adjacent fascial support. A review of 29 prior cases suggests that this may be the first reported case of blunt trauma causing rupture of the pyriform sinus. However, significant heterogeneity exists in diagnostic approach. Radiography and CT are rapid, sensitive modalities for suggesting pharyngeal perforation, while fluoroscopy and endoscopy can better assess injury size and location and monitor resolution. Early radiologic recognition of hypopharyngeal injury is essential to initiate appropriate treatment. In certain cases, including our own, both the presence and specific location of perforation may be identified on initial CT images.

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“…The most common cause of pharyngeal injury is iatrogenic, especially after difficult endotracheal intubation [3] . Surgically repaired pharyngeal perforation secondary to blunt trauma is rare [2] , [4] . She must be unconscious at that time because of general convulsion, so her body weight was concentrated on her neck.…”

Section: Discussionmentioning

confidence: 99%

Blunt pharyngeal trauma detected by ultrasound sonography: A case report

Kubota¹,

Shimaguchi²,

Katagiri³

et al. 2016

Trauma Case Reports

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Pharyngeal perforation related to blunt neck trauma is a rare clinical entity. Here in, we report a case of pharyngeal perforation secondary to minor blunt neck trauma. A 46 year old female was brought to our emergency room with neck pain. She fell down and hit her neck directly to the edge of a bed. There was no crepitation in physical examination. Neck ultrasound showed a small amount of air in her deep neck space. Followed CT and nasopharyngeal scope supported the presence of pharyngeal perforation. So emergency exploration was done. We found a laceration of hypopharynx and it was repaired. She could discharged without any complication on day 7. The indirect finding of pharyngeal perforation is subcutaneous emphysema. However if the air is localized only in deep cervical space, physical assessment is difficult.Although CT scan is potent modality to find air in the deep organs, ultrasound may be alternatives. Emphasis is based on the suspicion that minor blunt neck trauma may cause pharyngeal perforation.

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Transoral closure of a perforation of the hypopharynx from blunt trauma

Cited by 10 publications

References 22 publications

Traumatic Hypopharyngeal Perforation from Football Helmet Chinstrap

Traumatic Hypopharyngeal Perforation from Football Helmet Chinstrap

Pyriform sinus rupture caused by blunt trauma

Blunt pharyngeal trauma detected by ultrasound sonography: A case report

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