Skip to main content
SpringerLink
Log in

Penetrating Injury to the Pharynx and Cervical Esophagus

  • Chapter
  • First Online:
Penetrating Trauma

  • 1874 Accesses

Abstract

The region containing the pharynx and cervical esophagus is not particularly familiar to the average general or trauma surgeon. Moreover, pharyngoesophageal injury occurs in a mere 0.9–6 % of penetrating neck injuries. Thus, when encountering an injury to this area, knowing a few critical anatomic landmarks can help.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Recommended Reading

  1. Armstrong WB, Detar TR, Stanley RB (1994) Diagnosis and management of external penetrating cervical esophageal injuries. Ann Otol Rhinol Laryngol 103:863–871

    Article  CAS  PubMed  Google Scholar 

  2. Asensio JA, Berne J et al (1997) Penetrating esophageal injuries: time interval of safety for preoperative evaluation – how long is safe? J Trauma 43(2):319–324

    Article  CAS  PubMed  Google Scholar 

  3. Asensio JA, Chahwan S et al (2001) Penetrating esophageal injuries: multicenter study of the American Association for the Surgery of Trauma. J Trauma 50(2):289–296

    Article  CAS  PubMed  Google Scholar 

  4. Bazerbashi S, Villaquiran J, Bennett M et al (2008) Stented esophageal transfixion injury. Ann Thorac Surg 86:1367–1369

    Article  PubMed  Google Scholar 

  5. Demetriades D, Theodorou D et al (1997) Evaluation of penetrating injuries of the neck: prospective study of 223 patients. World J Surg 21:41–48

    Article  CAS  PubMed  Google Scholar 

  6. Demetriades D, Velmahos G et al (2001) Cervical pharyngoesophageal and laryngotracheal injuries. World J Surg 25:1044–1048

    Article  CAS  PubMed  Google Scholar 

  7. Flowers JL, Graham SM et al (1996) Flexible endoscopy for the diagnosis of esophageal trauma. J Trauma 40(2):261–265

    Article  CAS  PubMed  Google Scholar 

  8. Garcia-Toca M, Hayman A et al (2010) Zone 1 gunshot neck injury treated with common carotid and esophageal stent grafts. J Vasc Interv Radiol 21:1448–1451

    Article  PubMed  Google Scholar 

  9. Gonzalez RP, Falimirski M et al (2003) Penetrating zone II neck injury: does dynamic computed tomographic scan contribute to the diagnostic sensitivity of physical examination for surgically significant injury? A prospective blinded study. J Trauma 54:61–65

    Article  PubMed  Google Scholar 

  10. Gracias VH, Reilly PM, Philpott J et al (2001) Computed tomography in the evaluation of penetrating neck trauma: a preliminary study. Arch Surg 136:1231–1235

    Article  CAS  PubMed  Google Scholar 

  11. Inaba K, Branco BC et al (2012) Evaluation of multidetector computed tomography for penetrating neck injury: a prospective multicenter study. J Trauma Acute Care Surg 72(3):576–583

    Article  PubMed  Google Scholar 

  12. Inaba K, Munera F et al (2006) Prospective evaluation of screening multislice helical computed tomographic angiography in the initial evaluation of penetrating neck injuries. J Trauma 61(1):144–149

    Article  PubMed  Google Scholar 

  13. Madiba TE, Muckart DJ (2003) Penetrating injuries to the cervical oesophagus: is routine exploration mandatory? Ann R Coll Surg Engl 85:162–166

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Nel L, Jones LW, Hardcastle TC (2009) Imaging the oesophagus after penetrating cervical trauma using water-soluble contrast alone: simple, cost-effective and accurate. Emerg Med J 26:106–108

    Article  CAS  PubMed  Google Scholar 

  15. Srinivasan R, Haywood T, Horwitz B et al (2000) Role of flexible endoscopy in the evaluation of possible esophageal trauma after penetrating injuries. Am J Gastroenterol 95:1725–1729

    Article  CAS  PubMed  Google Scholar 

  16. Stanley RB, Armstrong WB et al (1997) Management of external penetrating injuries to the hypopharyngeal-cervical esophageal funnel. J Trauma 42(4):675–679

    Article  PubMed  Google Scholar 

  17. Tisherman SA, Bokhari F et al (2008) Clinical practice guideline: penetrating zone II neck trauma. J Trauma 64(5):1392–1405

    Article  PubMed  Google Scholar 

  18. Weigelt JA, Tal ER, Snyder WH III et al (1987) Diagnosis of penetrating cervical esophageal injuries. Am J Surg 154:619–622

    Article  CAS  PubMed  Google Scholar 

  19. Winter RP, Weigelt JA (1990) Cervical esophageal trauma. Incidence and cause of esophageal fistulas. Arch Surg 123(7):849–851

    Article  Google Scholar 

  20. Yugueros P, Sarmiento JM, Garcia AF et al (1996) Conservative management of penetrating hypopharyngeal wounds. J Trauma 40(2):267–269

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Trauma, Acute Care Surgery, and Surgical Critical Care, David Geffen School of Medicine at UCLA, Harbor-UCLA Medical Center, 1000 W. Carson Street, Box 42, Torrance, CA, 90509, USA

    Angela L. Neville

Authors
  1. Angela L. Neville
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Angela L. Neville .

Editor information

Editors and Affiliations

  1. Professor of Surgery Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital Harvard University Medical School, Boston, USA

    George C. Velmahos

  2. Professor Emeritus, Department of Surgery, University of the Witwatersrand Medical School, Milpark Hospital Academic Trauma Centre and Leratong Hospital, Johannesburg, South Africa

    Elias Degiannis

  3. Honorary Senior Lecturer, Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa

    Dietrich Doll

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Neville, A.L. (2017). Penetrating Injury to the Pharynx and Cervical Esophagus. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-49859-0_32

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation