An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU

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BJOHNS Aug 2019
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Published: Aug 31, 2019
DOI: https://doi.org/10.47210/bjohns.2019.v27i2.247
Keywords:
Esophageal Perforation, Wounds, Gunshot

Main Article Content

Manish Gupta
Maharishi Markandeshwar Institute of Medical Science and Research, MMU, Ambala, Haryana, India.
Ginni Datta
Maharishi Markandeshwar Institute of Medical Science and Research, MMU, Ambala, Haryana, India.

Abstract

Introduction


Oesophageal perforation is a rare condition and has high morbidity and mortality. Both the morbidity and mortality are directly related to the delay in diagnosis and start of treatment. Primary closure with drainage is recommended if perforation is detected in less than 24 hours. Treatment for delayed or missed rupture of oesophagus is not very clear and is controversial.


Case Report


We hereby report a case of delayed diagnosed cervical oesophagus rupture following gunshot, which was primarily repaired. Special emphasis is on newer technique of fistula localization using oro-oesophageal tube and AMBU for better closure. The fistula closure was successful and no there were no post-operative complications.


Discussion


The symptoms and signs on presentation of patient of cervical oesophagus perforation are discussed along with the differing treatment paradigms for early versus late presentation. Surgical repair with primary closure may be undertaken, even in late presentation of oesophagus rupture. This technique of oro-oesophageal tube used along with AMBU, may be useful in cases of both cervical and upper thoracic oesophagus rupture. 

Article Details

How to Cite
1.
Gupta M, Datta G. An Innovative Technique to Repair Cervical Oesophageal Perforation using Oro-oesophageal Tube and AMBU. BJOHNS [Internet]. 2019Aug.31 [cited 2024May4];27(2):171-5. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/247
Issue
Vol. 27 No. 2 (2019): Bengal Journal of Otolaryngology and Head Neck Surgery
Section
Case report
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Author Biographies

Manish Gupta, Maharishi Markandeshwar Institute of Medical Science and Research, MMU, Ambala, Haryana, India.

Professor & Head, Department of ENT

Ginni Datta, Maharishi Markandeshwar Institute of Medical Science and Research, MMU, Ambala, Haryana, India.

Associate Professor, Department of ENT

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