Pharyngeal perforations after anterior cervical spinal procedures: A systematic review
Background: Digestive system perforations after anterior cervical spine surgery (ACSS), if left untreated, are life-threatening. These injuries are often categorized as pharyngoesophageal. Although the pharynx and esophagus are continuations of each other, they are two distinct anatomical structures...
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Elsevier
2025-01-01
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S240584402417497X |
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| author | Baha Eldin Adam Osman Kılıç Selma Bozcan Mehmet Ali Kahraman Abdullah Talha Şimşek Fatih Çalış Ahmet Mutlu Naci Balak |
| author_facet | Baha Eldin Adam Osman Kılıç Selma Bozcan Mehmet Ali Kahraman Abdullah Talha Şimşek Fatih Çalış Ahmet Mutlu Naci Balak |
| author_sort | Baha Eldin Adam |
| collection | DOAJ |
| description | Background: Digestive system perforations after anterior cervical spine surgery (ACSS), if left untreated, are life-threatening. These injuries are often categorized as pharyngoesophageal. Although the pharynx and esophagus are continuations of each other, they are two distinct anatomical structures. There is limited experience in managing patients with pharyngeal injuries after ACSS. Methods: Using PRISMA guidelines, a PubMed search was conducted on the iatrogenic pharyngeal perforations after ACSS for the treatment of disc herniation and degenerative cervical myeloradiculopathy. Results: A total of 12 patients met our inclusion criteria. Eleven were from published studies, and one was our patient (2 female and 10 male, mean age = 56.25 years, range: 31–82 years). Clinical symptoms of patients with iatrogenic pharyngeal perforation after ACSS varied depending on whether the cases present early or late after surgery. Although clinical symptoms suggested a pharynx or esophageal injury, definitive diagnosis was challenging. All cases diagnosed either early or late after ACSS underwent surgical repair treatment, except for one case managed conservatively with antibiotics and nasogastric feeding. The overall outcome was favorable for all patients. However, the postoperative follow-up duration was not specified in two cases. In the remaining 10 cases, postoperative follow-up durations were generally short and varied significantly (mean = 4.87 months, median = 1.75 months, range:1 week–24 months). Conclusion: Iatrogenic pharyngeal injuries resulting from ACSS are extremely rare. They are relatively straightforward to diagnose and can be managed with a multidisciplinary approach. However, their long-term prognosis remains unknown. |
| format | Article |
| id | doaj-art-22a93ceea27542838086fc6de62f2da9 |
| institution | Kabale University |
| issn | 2405-8440 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj-art-22a93ceea27542838086fc6de62f2da92025-01-17T04:51:22ZengElsevierHeliyon2405-84402025-01-01111e41466Pharyngeal perforations after anterior cervical spinal procedures: A systematic reviewBaha Eldin Adam0Osman Kılıç1Selma Bozcan2Mehmet Ali Kahraman3Abdullah Talha Şimşek4Fatih Çalış5Ahmet Mutlu6Naci Balak7Department of Neurosurgery, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, TurkiyeOtorhinolaryngology Clinic of Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, TurkiyeDepartment of Gastroenterology, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, TurkiyeDepartment of Neurosurgery, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, TurkiyeDepartment of Neurosurgery, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, TurkiyeDepartment of Neurosurgery, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, TurkiyeDepartment of Otorhinolaryngology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, TurkiyeDepartment of Neurosurgery, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Istanbul, Turkiye; Corresponding author. Department of Neurosurgery, Istanbul Medeniyet University, Göztepe Prof. Dr. SüleymanYalçın City Hospital, Eğitim Mah. Fahrettin Kerim Gökay Caddesi Kadıköy, İstanbul 34722, Turkiye.Background: Digestive system perforations after anterior cervical spine surgery (ACSS), if left untreated, are life-threatening. These injuries are often categorized as pharyngoesophageal. Although the pharynx and esophagus are continuations of each other, they are two distinct anatomical structures. There is limited experience in managing patients with pharyngeal injuries after ACSS. Methods: Using PRISMA guidelines, a PubMed search was conducted on the iatrogenic pharyngeal perforations after ACSS for the treatment of disc herniation and degenerative cervical myeloradiculopathy. Results: A total of 12 patients met our inclusion criteria. Eleven were from published studies, and one was our patient (2 female and 10 male, mean age = 56.25 years, range: 31–82 years). Clinical symptoms of patients with iatrogenic pharyngeal perforation after ACSS varied depending on whether the cases present early or late after surgery. Although clinical symptoms suggested a pharynx or esophageal injury, definitive diagnosis was challenging. All cases diagnosed either early or late after ACSS underwent surgical repair treatment, except for one case managed conservatively with antibiotics and nasogastric feeding. The overall outcome was favorable for all patients. However, the postoperative follow-up duration was not specified in two cases. In the remaining 10 cases, postoperative follow-up durations were generally short and varied significantly (mean = 4.87 months, median = 1.75 months, range:1 week–24 months). Conclusion: Iatrogenic pharyngeal injuries resulting from ACSS are extremely rare. They are relatively straightforward to diagnose and can be managed with a multidisciplinary approach. However, their long-term prognosis remains unknown.http://www.sciencedirect.com/science/article/pii/S240584402417497XAnterior cervical proceduresCervical discectomyFusion surgeryIatrogenic injuryPharynxPharyngeal perforation |
| spellingShingle | Baha Eldin Adam Osman Kılıç Selma Bozcan Mehmet Ali Kahraman Abdullah Talha Şimşek Fatih Çalış Ahmet Mutlu Naci Balak Pharyngeal perforations after anterior cervical spinal procedures: A systematic review Heliyon Anterior cervical procedures Cervical discectomy Fusion surgery Iatrogenic injury Pharynx Pharyngeal perforation |
| title | Pharyngeal perforations after anterior cervical spinal procedures: A systematic review |
| title_full | Pharyngeal perforations after anterior cervical spinal procedures: A systematic review |
| title_fullStr | Pharyngeal perforations after anterior cervical spinal procedures: A systematic review |
| title_full_unstemmed | Pharyngeal perforations after anterior cervical spinal procedures: A systematic review |
| title_short | Pharyngeal perforations after anterior cervical spinal procedures: A systematic review |
| title_sort | pharyngeal perforations after anterior cervical spinal procedures a systematic review |
| topic | Anterior cervical procedures Cervical discectomy Fusion surgery Iatrogenic injury Pharynx Pharyngeal perforation |
| url | http://www.sciencedirect.com/science/article/pii/S240584402417497X |
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