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KMID : 1148420230060020158
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Journal of Neurointensive Care
2023 Volume.6 No. 2 p.158 ~ p.162
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Early Detection and Urgent Surgical Repair of Pharyngeal Injury after Anterior Cervical Surgery: A Case Report
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Jung Jae-Woo
Lee Jang-Bo
Junseok W Hur
Lee Su-Bum
An Sung-Jae
Oh Young-Gyu
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Abstract
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This case report addresses pharyngeal perforation, an uncommon complication after anterior cervical discectomy and fusion (ACDF). A 78-year-old male, who initially presented with quadriparesis, underwent ACDF. Post-surgery, the porridge he consumed was observed in the drain tube, leading to complications such as respiratory distress and fever. An emergency exploratory surgery was performed, and a suspected pharyngeal perforation was identified and treated with primary repair and sternocleidomastoid flap. Through thorough post-operative observation, we identified critical signs requiring immediate intervention, allowing for a successful recovery without additional complications. This report emphasizes the importance of early detection and intervention for complications following ACDF, providing valuable insights for clinical practice in neurosurgical intensive care.
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KEYWORD
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Anterior cervical surgery, Complication, Perforation, Pharynx, Spinal fusion
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