Turkish Neurosurgery 2013 , Vol 23 , Num 3
Interscapular Pharyngocutaneous Fistula: An Extreme Complication of Cervical Stabilization Surgery
Hakan KORKMAZ1, Guleser SAYLAM2, Omer BAYIR2, Emel CADALLI TATAR2, Ali OZDEK3
1Yıldırım Beyazıt University, Faculty of Medicine, Department of Otolaryngology, Ankara, Turkey
2Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Department of Otolaryngology, Ankara, Turkey
3Karabuk University, Faculty of Medicine, Department of Otolaryngology, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.5575-11.0 Pharyngeal and esophageal perforations are rare during cervical spine surgery but can cause significant morbidity. Pharyngeal or eosephageal perforations can occur by several mechanisms and the management of pharyngeal or eosephageal perforation’s treatment may become difficult. We report a 41-year-old paraplegic man with an interscapular pharyngocutaneous fistula secondary to cervical vertebral surgery. The diagnosis of posterior fistula was delayed for several months as it was an extremely rare complication. We explored the anterior neck and repaired the perforation on the right pyriform sinus primarily. The fistula tract on the back of the patient was completely healed and the patient started oral feeding in the second week after surgery. Keywords : Interscapular pharyngocutaneous fistula, Eosephagocutaneous fistula, Spinal fractures, Spinal fusion
Corresponding author : Ömer Bayır, bayiromer@hotmail.com