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Complexo Hospitalario Universitario A Coruña (CHUAC), Coruña, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Perforación faríngea espontánea secundaria a osteofitosis cervical" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 977 "Ancho" => 837 "Tamanyo" => 77918 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 79-year-old man with odynophagia and dysphagia of sudden onset without apparent cause. Physical examination showed no increase in cervical soft tissues or crepitus. The fibronasoendoscopy revealed retention of saliva in the hypopharynx, with no other alterations. He did not have dyspnoea. Cervical radiography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and computed tomography (<a class="elsevierStyleCrossRefs" href="#fig0010">Figs. 2 and 3</a>) showed extraluminal gas at retropharyngeal level (blue arrows), accompanied by increase of pharyngo-oesophageal soft tissues. Findings compatible with pharyngeal perforation in relation to fractured osteophyte of 2<span class="elsevierStyleHsp" style=""></span>cm at C3–C4 level (red arrows). Admission, antibiotic coverage, monitoring and parenteral diet were decided. After 10 days the transit with gastrografin did not show fistulas. The patient was discharged and is asymptomatic up to the present time.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Spontaneous perforation of the pharynx or cervical esophagus is extremely rare and the pathophysiology may be different from that of Boerhaave's syndrome. Osteophytes are defined as abnormal growths or bone spurs that form projections along the joints which are usually asymptomatic, but in some cases can affect the oesophagus and rarely the pharynx, causing dysphagia, obstructive sleep apnoea, dyspnoea, or stridor. 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Journal Information
Vol. 70. Issue 5.
Pages 312-313 (September - October 2019)
Vol. 70. Issue 5.
Pages 312-313 (September - October 2019)
Image in Otorhinolaryngology
Spontaneous pharyngeal perforation secondary to cervical osteophytosis
Perforación faríngea espontánea secundaria a osteofitosis cervical
Visits
3
Miguel Mayo-Yáñez
, Jaime Villares-Soriano
Corresponding author
Otorhinolaryngology – Head and Neck Surgery Department. Complexo Hospitalario Universitario A Coruña (CHUAC), Coruña, Spain
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