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Blunt Pharyngoesophageal Injury: an Overview of a Rare Entity

  • Galinos Barmparas
  • Daniel R. MarguliesEmail author
Trauma to the Neck (W Biffl, Section Editor)
  • 2 Downloads
Part of the following topical collections:
  1. Topical Collection on Trauma to the Neck

Abstract

Purpose of Review

To characterize the epidemiology, diagnostic approach, management, and outcomes of blunt pharyngoesophageal injuries.

Recent Findings

These injuries remain exceedingly rare. Clinical symptoms and signs may not be revealing. Most recommendations regarding diagnosis and management are extrapolated from penetrating aerodigestive injuries. High-resolution computerized tomography has emerged as the most useful initial imaging modality that may guide the need for additional studies and/or intervention. Esophagography and endoscopic evaluation remain of paramount importance when an injury is confirmed or suspected as they can assist in determining therapeutic actions. Non-operative management is feasible and should be considered selectively to avoid septic complications.

Summary

Blunt pharyngoesophageal injuries can be managed similarly to those from penetrating mechanism. The use of computerized tomography should be more liberal to rule out associated injuries, as blunt trauma patients are at risk for having additional occult life-threatening injuries. Non-operative managements should be carefully deployed.

Keywords

Pharyngoesophageal injuries Pharyngeal injuries Esophageal injuries Non-operative management Neck trauma Blunt 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare no conflicts of interest relevant to this manuscript.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Surgery, Division of Acute Care Surgery and Surgical Critical CareCedars-Sinai Medical CenterLos AngelesUSA

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