Improved repair of cervical esophageal fistula complicating

Journal of neurosurgery · Jan 2004

Case Reports

Improved repair of cervical esophageal fistula complicating anterior spinal fusion: free omental flap compared with pectoralis major flap. Report of four cases.

Esophageal injury is a serious complication of anterior cervical fusion. A team approach to the management of these cases is described. The authors performed spinal assessment, control of the fistula, and interposition of a vascularized flap between the spine and the esophagus. They compared the overall efficacy of the pectoralis major flap (pedicled; two cases) and omental flap (free; two cases).

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- Russell R Reid, José Dutra, David B Conley, Stephen L Ondra, and Gregory A Dumanian.
- Department of Otolaryngology, Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.
- J. Neurosurg. 2004 Jan 1; 100 (1 Suppl Spine): 66-70.
AbstractEsophageal injury is a serious complication of anterior cervical fusion. A team approach to the management of these cases is described. The authors performed spinal assessment, control of the fistula, and interposition of a vascularized flap between the spine and the esophagus. They compared the overall efficacy of the pectoralis major flap (pedicled; two cases) and omental flap (free; two cases).

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Improved repair of cervical esophageal fistula complicating anterior spinal fusion: free omental flap compared with pectoralis major flap. Report of four cases.

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