Usefulness of Vacuum-Assisted Closure Therapy in the Treatment of Esophageal Perforation Following Thyroidectomy.
10.3342/kjorl-hns.2016.17342
- Author:
Anna PARK
1
;
Young Sam YOO
;
Jeong Hwan CHOI
;
Eui Suk CHUNG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. entyoo@empal.com
- Publication Type:Case Report
- Keywords:
Cervical esophageal perforation;
Deep neck infection;
Thyroidectomy;
Vacuum-assisted closure therapy
- MeSH:
Abscess;
Drainage;
Esophageal Perforation*;
Esophagus;
Humans;
Neck;
Negative-Pressure Wound Therapy*;
Sutures;
Thyroidectomy*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2017;60(5):252-256
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Perforation of the cervical esophagus after thyroidectomy is a rare complication. Esophageal perforation is usually treated conservatively with simple surgical drainage and intravenous antibiotic therapy. If complicated by abscess, it needs aggressive surgery including resection and anastomosis. But the aggressive treatments mentioned have low success and high morbidity. Herein, we report a patient with complicated deep neck infection caused by esophageal perforation following thyroidectomy, which was successfully treated with multiple vacuum-assisted closure and intravenous antibiotic therapy after the failure of simple suture and simple drainage as conservative managements.
