STUDY DESIGN: A retrospective study was undertaken which evaluated the medical records and imaging studies of a subset of @entity1 managed by the spine service at Jackson Memorial Hospital who were diagnosed with an esophageal perforation in the setting of spinal surgery. OBJECTIVE: To assess the safety and efficacy of a @entity121 in the repair of esophageal perforation in the setting of anterior cervical spine surgery. SUMMARY OF BACKGROUND DATA: The management of an esophageal @entity292 in the setting of spine surgery is challenging and starts with a prompt and accurate diagnosis. In addition to broad spectrum intravenous antibiotics, several methods have been described to repair the @entity292 , which range from enteral tube feeding, direct repair, and/or repair with a local or free @entity121 . METHODS: The review encompassed medical records, discharge summaries, operative reports, and imaging studies. Data were gathered with specific attention to demographics, primary pathology, mechanism of @entity1208 , method of spinal stabilization, method of esophageal repair, and time to initiation of oral intake. Follow-up interviews were conducted either in- @entity1 or by telephone. RESULTS: Six @entity1 were treated over the study period. There were 3 @entity1 and 3 @entity1 . The mean age was 52.8 years. Primary pathologies were penetrating @entity130 , blunt @entity130 (2 cases), @entity179 (2 cases), and @entity5 . Mechanisms of @entity1208 were penetrating @entity130 , acute iatrogenic, chronic iatrogenic (3 cases), and intubation @entity130 . The time to diagnosis ranged from immediate to 10 months. The method of spinal stabilization was anterior autograft followed by posterior instrumentation in 4 of 6 @entity1 . The method of esophageal repair was an inferiorly based @entity12014 ( @entity12014 ) flap in 4 cases, primary repair in 1 case, and esophageal diversion alone in 1 case. The time to oral intake averaged 59.2 days (range, 23-113 days) in those with a @entity12014 flap versus 153.5 days (range, 119-188 days) in those treated without a flap. CONCLUSION: The use of an @entity12014 flap for the repair of @entity1208 , in the setting of anterior cervical spine surgery, is a safe and effective tool. An @entity12014 flap appeared to improve the time in initiating oral intake without any significant morbidity.

The role of the XXXX for esophageal @entity292 repair in anterior cervical spine surgery.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'person', 'men'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity1208 :: ('MESH:D004935', 'Disease') :: ['esophageal injury'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity179 :: ('MESH:D019636', 'Disease') :: ['degenerative disease'] @entity12014 :: ('MESH:C535977', 'Disease') :: ['sternocleidomastoid', 'SCM'] @entity121 :: ('MESH:D009135', 'Disease') :: ['muscle flap', 'sternocleidomastoid muscle flap'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity121 :: (MESH:D009135,Disease) :: ['sternocleidomastoid muscle flap']
