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Ann Thorac Surg 1990;50:615-617
© 1990 The Society of Thoracic Surgeons

Articles

Pharyngoesophageal perforation after blunt neck trauma

Jeffrey A. Niezgoda, MC, USAF, CPTa,b,c, Patrick McMenamin, MDa,b,c, Geoffrey M. Graeber, MD*,a,b,c

a Department of Emergency Medicine, David Grant Air Force Medical Center, Travis Air Force Base, California USA
b Department of Otolaryngology, University of California Davis Medical Center, Sacramento, California USA
c Division of Surgery, Walter Reed Institute of Research, Washington, DC USA

Accepted for publication May 30, 1990.

* Address reprint requests to Dr Graeber, Department of Surgery, West Virginia University, Health Sciences Center/North, Morgantown, WV 26506.

Pharyngoesophageal perforation secondary to blunt neck trauma is an uncommon injury that can cause serious morbidity and mortality if not recognized and treated. Pharyngeal perforation secondary to blunt trauma sustained while boxing is reported. Review of the world literature found 10 cases of pharyngoesophageal perforation secondary to blunt neck trauma. Analysis of these cases indicates that perforations less than 2 cm and limited to the pharynx may be treated medically with close observation. Large perforations and those perforations that extend to the esophageal inlet or involve the esophagus exclusively are best treated surgically.




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Home page
 Emerg. Med. J.Home page
D Smith and S Woolley
Hypopharyngeal perforation following minor trauma: a case report and literature review
Emerg. Med. J., January 1, 2006; 23(1): e07 - e07.
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