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Esophageal perforation as a complication of the Heimlich maneuver in a pediatric patient: A case report

August 18, 2018  |  Shira L. Koss, MD; William E. Karle, MD; Gregory Dibelius, MD; Ameet Kamat, MD; Craig Berzofsky, MD

Abstract

We report a case of cervical esophageal perforation caused by the Heimlich maneuver in a healthy 16-year-old boy. The patient reported a short coughing episode while eating rice, and his mother performed the Heimlich maneuver on him. Five days later, he presented to the...

Intraoperative ultrasound-guided retrieval of an extraluminal pharyngoesophageal foreign body

August 18, 2018  |  Janet W. Lee, MD; Derrick R. Randall, MD, MSc; Maggie A. Kuhn, MD

Abstract

Pharyngoesophageal foreign bodies (FBs) are common otolaryngologic problems, but challenging cases cause significant patient and surgeon frustration. Extraluminal migration of an FB from the pharynx or esophagus is rare and usually necessitates external neck exploration....

CO2-laser-assisted diverticulotomy remains an effective and safe method for treating Zenker diverticulum

March 14, 2018  |  Mazin Merdad, MD, MPH; Nitin Bhatia, MD; Elie E. Rebeiz, MD, FACS

Abstract

Our objectives were to review our experience with laser- assisted diverticulotomy (LAD) in the treatment of Zenker diverticulum (ZD) and compare our results with those in published literature on other endoscopic and surgical techniques. We conducted a retrospective chart review...

Where am I? Transnasal esophagoscopy outside the normal esophagus

December 12, 2017  |  Mark A. Fritz, MD; Gregory N. Postma, MD

Unsedated colonoscopy and small bowel intubation are achievable in select patients in the otolaryngology clinic, but a complete history and old records are important.

Management decisions for Zenker diverticulum in the elderly

September 18, 2017  |  Karen Kost, MD, FRCSC; Kourosh Parham, MD

Zenker diverticulum is primarily a geriatric condition, usually requiring surgical management.

June is National Dysphagia Awareness Month

June 20, 2017  |  Amanda Hu, MD, FRCSC

The Agency for Healthcare Research and Quality has estimated that 60,000 people in the United States die annually from complications associated with swallowing disorders.

In-office vs. operating room procedures for recurrent respiratory papillomatosis

April 30, 2017  |  Anya J. Miller, MD; Glendon M. Gardner, MD

Abstract

We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man...

Intramural esophageal hematoma mimicking a hypopharyngeal tumor

January 25, 2017  |  Chao-Jung Lin, MD; Bor-Hwang Kang, MD, PhD; Yueng-Hsiang Chu, MD, PhD; Chih-Hung Wang, MD, PhD

The common presentation of intramural esophageal hematoma is acute onset of retrosternal pain, typically accompanied by dysphagia, odynophagia, or hematemesis.

Schwannoma of the cervical esophagus: Report of 2 cases and a review of the literature

September 21, 2015  |  Yu-Long Wang, MD; Jian-Guang Sun, MD; Jian Wang, MD; Wen-Jun Wei, MD; Yong-Xue Zhu, MD; Yu Wang, MD; Guo-Hua Sun, MD; Kuan Xu, MD; Hui Li, MD; Ling Zhang, MD; Qing-Hai Ji, MD

Abstract

Schwannomas of the cervical esophagus are extremely rare, as fewer than a dozen reports have been published in the literature. Therefore, their clinical characteristics and management have not been definitively elucidated. We report 2 cases of cervical esophageal schwannoma (...

Minimally invasive drainage of a posterior mediastinal abscess through the retropharyngeal space: A report of 2 cases

March 2, 2015  |  Dan Lu, MD; Yu Zhao, MD, PhD

Abstract

Foreign-body ingestion is a common cause of esophageal perforation, which can lead to a fatal posterior mediastinal abscess. Routine treatments include the drainage of pus through the esophageal perforation, thoracotomy, and videothoracoscopic drainage. We present 2 cases of...

Adult presentation of laryngeal cleft: Utility of the modified barium swallow study in diagnosis and management

December 19, 2014  |  Genevieve Houdet-Cote, MHSc; Simon R. McVaugh-Smock, MHSc

We present a case of laryngeal cleft in a 41-year-old man to illustrate the co-occurrence of laryngeal cleft and tracheoesophageal fistula. We advocate the use of the modified barium swallow study in the diagnosis of laryngeal cleft. We also review the advantages and limitations of the various...

Superior omohyoid muscle flap repair of cervical esophageal perforation induced by spinal hardware

December 19, 2014  |  Christopher Chase Surek, DO; Douglas A. Girod, MD, FACS

Cervical esophageal perforation is a rare and life-threatening condition. Its prompt diagnosis and treatment require a high index of suspicion. Cervical spine hardware is an uncommon cause of posterior esophageal perforation. Management has included a variety of musculofascial flaps for surgical...

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