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KMID : 0371619990150010103
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Journal of Wonkwang Medical Science
1999 Volume.15 No. 1 p.103 ~ p.108
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Delayed Esophageal Perforation after Anterior Cervical Fusion Using AO Synthes Plate
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Song Ha-Heon
Kim Tae-Kyun
Shim Dae-Moo
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Abstract
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Esophageal perforation after anterior cervical discectomy operation has a rare incidence. Also Delayed Esophageal perforation after anterior cervical discectomy has a very rare incidence. Esophageal perforaton is usually characterized as being due to the surgical exposure, metallic implant, bone graft, fractured vertebrae and polymethylmethacrylate. Esophageal perforaton result in fatal mediastinitis, which may lead to die from sepsis. The mortality rate continues to be more than 20%. Factors that adversely affect the outcome include the location and severity of the esophageal injury] associated injuries and delayed diagnosis and treatment. The purpose of this report is to present the our case of a patient who had delayed esophageal perforation by irritation of metallic screw and 3 weeks post operatively, and to know how can we get a early diagnosis and treatment in delayed esophageal perforation.
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KEYWORD
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Delayed esophageal perforation, anterior cervical discectorny, AO sythes
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