Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation
Late-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2023-08-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2028 |
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| author | Patrícia Silva Sousa Clara Magalhães Diogo Sousa António Lemos Lopes Anita Cunha António Castanheira |
| author_facet | Patrícia Silva Sousa Clara Magalhães Diogo Sousa António Lemos Lopes Anita Cunha António Castanheira |
| author_sort | Patrícia Silva Sousa |
| collection | DOAJ |
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Late-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous documented odontoid fracture treated with osteosynthesis with an interf ragmentary screw performed 30 years ago. A screw emerging at the level of the left tonsil was observed in the oropharynx, and it was inserted at the right postero-lateral hypopharyngeal wall. The integrity of the adjacent vessels was confirmed by imaging tests. The patient underwent screw removal by trans-oral approach with endoscopic observation, and was admitted for clinical surveillance, without further complications. The rarity of this condition hampers a consensus regarding the diagnostic and therapeutic approaches, and therefore, they must be individualized. In this clinical case, the patient was managed conservatively, and recovered without significant morbidity.
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| format | Article |
| id | doaj-art-ead2bd6bb3b34040b48408b6eb428e8f |
| institution | Kabale University |
| issn | 2184-6499 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-ead2bd6bb3b34040b48408b6eb428e8f2025-08-20T03:30:09ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992023-08-0161210.34631/sporl.2028Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforationPatrícia Silva Sousa0Clara Magalhães1Diogo Sousa2António Lemos Lopes3Anita Cunha4António Castanheira5Serviço de Otorrinolaringologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, PortugalServiço de Otorrinolaringologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, PortugalServiço de Ortopedia, Centro Hospitalar de Trás-os- Montes e Alto Douro, PortugalServiço de Ortopedia, Centro Hospitalar de Trás-os- Montes e Alto Douro, PortugalServiço de Otorrinolaringologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal; Serviço de Otorrinolaringologia, Hospital das Forças Armadas, Porto, PortugalServiço de Otorrinolaringologia, Centro Hospitalar de Trás-os-Montes e Alto Douro, Portugal Late-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous documented odontoid fracture treated with osteosynthesis with an interf ragmentary screw performed 30 years ago. A screw emerging at the level of the left tonsil was observed in the oropharynx, and it was inserted at the right postero-lateral hypopharyngeal wall. The integrity of the adjacent vessels was confirmed by imaging tests. The patient underwent screw removal by trans-oral approach with endoscopic observation, and was admitted for clinical surveillance, without further complications. The rarity of this condition hampers a consensus regarding the diagnostic and therapeutic approaches, and therefore, they must be individualized. In this clinical case, the patient was managed conservatively, and recovered without significant morbidity. https://journalsporl.com/index.php/sporl/article/view/2028late pharyngeal perforationanterior cervical spine osteosynthesisscrew |
| spellingShingle | Patrícia Silva Sousa Clara Magalhães Diogo Sousa António Lemos Lopes Anita Cunha António Castanheira Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço late pharyngeal perforation anterior cervical spine osteosynthesis screw |
| title | Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_full | Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_fullStr | Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_full_unstemmed | Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_short | Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_sort | cervical spine osteosynthesis screw a rare cause of late pharyngeal perforation |
| topic | late pharyngeal perforation anterior cervical spine osteosynthesis screw |
| url | https://journalsporl.com/index.php/sporl/article/view/2028 |
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