Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng por |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | https://doi.org/10.34631/sporl.2028 |
Resumo: | Late-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous documented odontoid fracture treated with osteosynthesis with an interf ragmentary screw performed 30 years ago. A screw emerging at the level of the left tonsil was observed in the oropharynx, and it was inserted at the right postero-lateral hypopharyngeal wall. The integrity of the adjacent vessels was confirmed by imaging tests. The patient underwent screw removal by trans-oral approach with endoscopic observation, and was admitted for clinical surveillance, without further complications. The rarity of this condition hampers a consensus regarding the diagnostic and therapeutic approaches, and therefore, they must be individualized. In this clinical case, the patient was managed conservatively, and recovered without significant morbidity. |
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Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforationParafuso de osteossíntese da coluna cervical: Uma causa rara de perfuração tardia da faringeperfuração tardia da faringeosteossíntese da coluna cervicalparafusolate pharyngeal perforationanterior cervical spine osteosynthesisscrewLate-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous documented odontoid fracture treated with osteosynthesis with an interf ragmentary screw performed 30 years ago. A screw emerging at the level of the left tonsil was observed in the oropharynx, and it was inserted at the right postero-lateral hypopharyngeal wall. The integrity of the adjacent vessels was confirmed by imaging tests. The patient underwent screw removal by trans-oral approach with endoscopic observation, and was admitted for clinical surveillance, without further complications. The rarity of this condition hampers a consensus regarding the diagnostic and therapeutic approaches, and therefore, they must be individualized. In this clinical case, the patient was managed conservatively, and recovered without significant morbidity.A perfuração tardia da faringe é uma complicação rara da cirurgia da coluna cervical por via anterior. A sua apresentação clínica é variável e pode levar a complicações potencialmente fatais. Apresentamos um doente do género masculino, de 49 anos, com odinofagia e sensação de corpo estranho faríngeo, com seis semanas de evolução. Há 30 anos, por fratura da apófise odontoide, foi submetido a osteossíntese com parafuso de compressão interf ragmentária por via anterior. Apresentava um parafuso ao nível da amígdala esquerda, com inserção na parede lateral da hipofaringe à direita. Os exames imagiológicos mostraram integridade dos vasos sanguíneos adjacentes. Foi realizada extração do parafuso por via trans-oral com controlo endoscópico e o doente foi internado para vigilância clínica, sem complicações. Dado a raridade desta patologia, as abordagens diagnóstica e terapêutica não estão bem estabelecidas, pelo que devem ser individualizadas. Neste caso clínico optou-se pelo tratamento conservador, sem morbilidade associada.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2023-08-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.2028https://doi.org/10.34631/sporl.2028Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 2 (2023): June; 241-246Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 2 (2023): Junho; 241-246Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 2 (2023): Junho; 241-2462184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://journalsporl.com/index.php/sporl/article/view/2028https://journalsporl.com/index.php/sporl/article/view/2028/53https://journalsporl.com/index.php/sporl/article/view/2028/54Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessSilva Sousa, PatríciaMagalhães, ClaraSousa, DiogoLemos Lopes, AntónioCunha, AnitaCastanheira, António2023-11-09T12:00:32Zoai:journalsporl.com:article/2028Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:10:08.699102Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation Parafuso de osteossíntese da coluna cervical: Uma causa rara de perfuração tardia da faringe |
| title |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| spellingShingle |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation Silva Sousa, Patrícia perfuração tardia da faringe osteossíntese da coluna cervical parafuso late pharyngeal perforation anterior cervical spine osteosynthesis screw |
| title_short |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_full |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_fullStr |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_full_unstemmed |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| title_sort |
Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation |
| author |
Silva Sousa, Patrícia |
| author_facet |
Silva Sousa, Patrícia Magalhães, Clara Sousa, Diogo Lemos Lopes, António Cunha, Anita Castanheira, António |
| author_role |
author |
| author2 |
Magalhães, Clara Sousa, Diogo Lemos Lopes, António Cunha, Anita Castanheira, António |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Silva Sousa, Patrícia Magalhães, Clara Sousa, Diogo Lemos Lopes, António Cunha, Anita Castanheira, António |
| dc.subject.por.fl_str_mv |
perfuração tardia da faringe osteossíntese da coluna cervical parafuso late pharyngeal perforation anterior cervical spine osteosynthesis screw |
| topic |
perfuração tardia da faringe osteossíntese da coluna cervical parafuso late pharyngeal perforation anterior cervical spine osteosynthesis screw |
| description |
Late-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous documented odontoid fracture treated with osteosynthesis with an interf ragmentary screw performed 30 years ago. A screw emerging at the level of the left tonsil was observed in the oropharynx, and it was inserted at the right postero-lateral hypopharyngeal wall. The integrity of the adjacent vessels was confirmed by imaging tests. The patient underwent screw removal by trans-oral approach with endoscopic observation, and was admitted for clinical surveillance, without further complications. The rarity of this condition hampers a consensus regarding the diagnostic and therapeutic approaches, and therefore, they must be individualized. In this clinical case, the patient was managed conservatively, and recovered without significant morbidity. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-08-28 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.2028 https://doi.org/10.34631/sporl.2028 |
| url |
https://doi.org/10.34631/sporl.2028 |
| dc.language.iso.fl_str_mv |
eng por |
| language |
eng por |
| dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2028 https://journalsporl.com/index.php/sporl/article/view/2028/53 https://journalsporl.com/index.php/sporl/article/view/2028/54 |
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Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2023 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço |
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openAccess |
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application/pdf application/pdf |
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Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
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Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 61 No. 2 (2023): June; 241-246 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 61 Núm. 2 (2023): Junho; 241-246 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 61 N.º 2 (2023): Junho; 241-246 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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