Cervical osteomyelitis after placement of a self-expanding plastic stent for palliation of dysphagia associated with chemoradiation-induced esophageal strictures.
Cervical osteomyelitis after placement of a self-expanding plastic stent for palliation of dysphagia associated with chemoradiation-induced esophageal strictures.
复制标题
放置自膨式塑料支架以缓解与放化疗引起的食管狭窄相关的吞咽困难后发生颈椎骨髓炎。
DOI：
10.1002/hed.22975
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Varma,AbhayK
中科院分区：
文献类型：
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作者：
Mullen,ThomasD;Sharma,AnandK;Varma,AbhayK
食管狭窄是头颈部肿瘤放化疗和/或手术后常见的后遗症，可导致狭窄和严重的吞咽困难。内镜扩张和自膨式支架置入通常用于缓解吞咽困难症状。然而，这些支架并非没有风险和并发症。MethodsWe介绍了一例58岁的男性患者，由于放置塑料食管支架以缓解放化疗引起的狭窄，导致颈部骨髓炎的罕见并发症。ResultsThe patient was successfully managed with immobilization of cervical spine in a halo vest and appropriate antibiotics.ConclusionTo the best of our knowledge，这是第一例报告的自膨式塑料支架（SEPS）置入治疗食管狭窄后发生颈椎骨髓炎的病例。经制动和抗生素治疗后，成功治愈。治疗医生应该意识到这种罕见的并发症，以便早期诊断。对食管支架诱导的颈部骨髓炎的文献进行了综述。© 2012 Wiley Periodicals，Inc.头颈部，2012年
BackgroundEsophageal strictures are a common sequela of chemoradiation and/or surgery to the head and neck cancers and can lead to stenosis and significant dysphagia. Endoscopic dilation endoscopic and placement of self‐expanding stents are often to used relieve dysphagia symptoms. However, these stents are not without risks and complications.MethodsWe present a case of a 58‐year‐old man who had the rare complication of cervical osteomyelitis as a result of plastic esophageal stent placement for palliation of chemoradiation‐induced strictures.ResultsThe patient was successfully managed with immobilization of the cervical spine in a halo vest and appropriate antibiotics.ConclusionTo the best of our knowledge, this is the first reported case of cervical spine osteomyelitis after self‐expanding plastic stent (SEPS) placement for esophageal stricture. It was successfully treated with immobilization and antibiotic therapy. The treating physician should be aware of this rare complication to make an early diagnosis. Literature on esophageal stent‐induced cervical osteomyelitis is reviewed. © 2012 Wiley Periodicals, Inc. Head Neck, 2012