An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU
Introduction Oesophageal perforation is a rare condition and has high morbidity and mortality. Both the morbidity and mortality are directly related to the delay in diagnosis and start of treatment. Primary closure with drainage is recommended if perforation is detected in less than 24 hours. Tre...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
The Association of Otolaryngologists of India, West Bengal
2019-08-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/247 |
| _version_ | 1797284537826279424 |
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| author | Manish Gupta Ginni Datta |
| author_facet | Manish Gupta Ginni Datta |
| author_sort | Manish Gupta |
| collection | DOAJ |
| description | Introduction
Oesophageal perforation is a rare condition and has high morbidity and mortality. Both the morbidity and mortality are directly related to the delay in diagnosis and start of treatment. Primary closure with drainage is recommended if perforation is detected in less than 24 hours. Treatment for delayed or missed rupture of oesophagus is not very clear and is controversial.
Case Report
We hereby report a case of delayed diagnosed cervical oesophagus rupture following gunshot, which was primarily repaired. Special emphasis is on newer technique of fistula localization using oro-oesophageal tube and AMBU for better closure. The fistula closure was successful and no there were no post-operative complications.
Discussion
The symptoms and signs on presentation of patient of cervical oesophagus perforation are discussed along with the differing treatment paradigms for early versus late presentation. Surgical repair with primary closure may be undertaken, even in late presentation of oesophagus rupture. This technique of oro-oesophageal tube used along with AMBU, may be useful in cases of both cervical and upper thoracic oesophagus rupture. |
| first_indexed | 2024-03-07T17:49:14Z |
| format | Article |
| id | doaj.art-d46b16580b084ed9bc63caff1b1f3e8c |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:49:14Z |
| publishDate | 2019-08-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-d46b16580b084ed9bc63caff1b1f3e8c2024-03-02T14:22:31ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072019-08-0127210.47210/bjohns.2019.v27i2.247An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBUManish Gupta0Ginni Datta1Maharishi Markandeshwar Institute of Medical Science and Research, MMU, Ambala, Haryana, India.Maharishi Markandeshwar Institute of Medical Science and Research, MMU, Ambala, Haryana, India.Introduction Oesophageal perforation is a rare condition and has high morbidity and mortality. Both the morbidity and mortality are directly related to the delay in diagnosis and start of treatment. Primary closure with drainage is recommended if perforation is detected in less than 24 hours. Treatment for delayed or missed rupture of oesophagus is not very clear and is controversial. Case Report We hereby report a case of delayed diagnosed cervical oesophagus rupture following gunshot, which was primarily repaired. Special emphasis is on newer technique of fistula localization using oro-oesophageal tube and AMBU for better closure. The fistula closure was successful and no there were no post-operative complications. Discussion The symptoms and signs on presentation of patient of cervical oesophagus perforation are discussed along with the differing treatment paradigms for early versus late presentation. Surgical repair with primary closure may be undertaken, even in late presentation of oesophagus rupture. This technique of oro-oesophageal tube used along with AMBU, may be useful in cases of both cervical and upper thoracic oesophagus rupture.https://bjohns.in/journal3/index.php/bjohns/article/view/247Esophageal PerforationWounds, Gunshot |
| spellingShingle | Manish Gupta Ginni Datta An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU Bengal Journal of Otolaryngology and Head Neck Surgery Esophageal Perforation Wounds, Gunshot |
| title | An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU |
| title_full | An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU |
| title_fullStr | An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU |
| title_full_unstemmed | An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU |
| title_short | An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU |
| title_sort | innovative technique to repair cervical oesophageal perforation using oro oesophageal tube and ambu |
| topic | Esophageal Perforation Wounds, Gunshot |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/247 |
| work_keys_str_mv | AT manishgupta aninnovativetechniquetorepaircervicaloesophagealperforationusingorooesophagealtubeandambu AT ginnidatta aninnovativetechniquetorepaircervicaloesophagealperforationusingorooesophagealtubeandambu AT manishgupta innovativetechniquetorepaircervicaloesophagealperforationusingorooesophagealtubeandambu AT ginnidatta innovativetechniquetorepaircervicaloesophagealperforationusingorooesophagealtubeandambu |