Clinical Application of Lateral Neck Incision in the Removal of Incarcerated Esophageal Foreign Body_West China Medical Journal

Authors：

 SHAOYuan ,  LIULi-feng , QUANFang

Department of Otorhinolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, P. R. China;

Corresponding author：

LIULi-feng, Email: LLF969@163.com

Keywords：

Esophageal foreign body; Complication; Lateral neck incision

DOI：

10.7507/1002-0179.20140392

Video：

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Objective To discuss the indication and vital procedure of lateral neck incision applied for the removal of relatively big esophageal incarcerated foreign body, in order to improve the level of diagnosis and treatment of esophageal foreign body. Methods The clinical data of 23 patients suffering from esophageal incarcerated foreign body and treated between May 2009 and May 2012 were retrospectively analyzed. Time of onset, foreign body type and shape, and operation method were studied. Results All 23 patients recovered successfully and were discharged from the hospital within 1 week, without severe complications like esophageal perforation or esophageal peripheral inflammation. Conclusion For esophageal superior segment big incarcerated foreign body, lateral neck incision can expand the visual field, reduce operation blind area, avoid irregular injury of the esophageal wall and occurrence of complications.

Citation： SHAOYuan, LIULi-feng, QUANFang. Clinical Application of Lateral Neck Incision in the Removal of Incarcerated Esophageal Foreign Body. West China Medical Journal, 2014, 29(7): 1283-1285. doi: 10.7507/1002-0179.20140392 Copy

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12.	章毅, 王敏, 古艳, 等. 301例食管异物患者临床诊治分析[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(4):322-324, 329.
13.	姚昆, 胡伟, 孙敬武. 食管镜下棉片填充扩张法取义齿异物附4例报告[J]. 中国耳鼻咽喉颅底外科杂志, 2010, 16(3):226-227.
14.	王丽, 邱英伏, 周玉英, 等. 颈侧切开治疗颈段食管嵌顿性异物三例[J]. 中华耳鼻咽喉头颈外科杂志, 2005, 40(12):949.
15.	张艳梅, 胡辂, 陈东风. 食管异物并发主动脉食管瘘1例[J]. 第三军医大学学报, 2013, 35(5):455, 463.
16.	黄益灯, 周水淼, 张速勤, 等. 嵌顿性食管义齿异物治疗体会[J]. 临床耳鼻咽喉科杂志, 2003, 17(6):372-373.
17.	蒲一平, 骆文龙, 吴家廉, 等. 食道异物取出术麻醉方式的临床研究[J]. 重庆医学, 2002, 31(8):711-712.
18.	祁春, 王金玉. 老年食管异物55例诊治[J]. 中国眼耳鼻喉科杂志, 2007, 7(3):164-165.
19.	毛弈韬, 聂智樱, 杨福伟, 等. 食管异物引起严重并发症的临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(24):1111-1112, 1115.

1. 刘昌荣, 何剑, 唐瑶云. 53例食管异物的临床分析[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(4):353-354.
2. Sung SH, Jeon SW, Son HS, et al. Factors predictive of risk for complications in patients with oesophageal foreign bodies[J]. Dig Liver Dis, 2011, 43(8):632-635.
3. 刘斌, 江育玲, 彭建辉, 等. 颈侧切开术在颈段食管异物取出中的应用[J]. 中国耳鼻咽喉颅底外科杂志, 2011, 17(4):268-271.
4. 施芳. Foley管法食管硬币取出28例临床分析[J]. 中国耳鼻咽喉颅底外科杂志, 2012, 19(1):69.
5. 蔡朝阳, 钟海兵. 食管异物临床分析[J]. 中国耳鼻咽喉头颈外科, 2014, 21(2):101-102.
6. 龚梓明, 陈嗣铭, 李健, 等. 45例老年人食管异物临床分析[J]. 中国医药指南, 2012, 10(9):450-452.
7. 鲜均明, 唐玥均, 梁传余, 等. 食管义齿异物的手术方式[J]. 华西医学, 2004, 19(2):270-270.
8. 时辉, 沈春辉, 梅龙勇, 等. 食管异物的外科治疗[J]. 中国胸心血管外科临床杂志, 2011, 18(4):329-331.
9. 刘平, 戴国平, 王炜, 等. 电视监视中潜窥镜下取复杂性食管异物[J]. 中国内镜杂志, 2012, 18(9):1001-1002.
10. Sittitrai P, Pattarasakulchai T, Tapatiwong H. Esophageal foreign bodie[J]. J Med Assoc Thai, 2000, 83(12):1514-1518.
11. 陈黎明. 不同种类食管异物取出方法分析[J]. 中华实用诊断与治疗杂志, 2011, 25(11):1130-1131.
12. 章毅, 王敏, 古艳, 等. 301例食管异物患者临床诊治分析[J]. 中国耳鼻咽喉颅底外科杂志, 2013, 19(4):322-324, 329.
13. 姚昆, 胡伟, 孙敬武. 食管镜下棉片填充扩张法取义齿异物附4例报告[J]. 中国耳鼻咽喉颅底外科杂志, 2010, 16(3):226-227.
14. 王丽, 邱英伏, 周玉英, 等. 颈侧切开治疗颈段食管嵌顿性异物三例[J]. 中华耳鼻咽喉头颈外科杂志, 2005, 40(12):949.
15. 张艳梅, 胡辂, 陈东风. 食管异物并发主动脉食管瘘1例[J]. 第三军医大学学报, 2013, 35(5):455, 463.
16. 黄益灯, 周水淼, 张速勤, 等. 嵌顿性食管义齿异物治疗体会[J]. 临床耳鼻咽喉科杂志, 2003, 17(6):372-373.
17. 蒲一平, 骆文龙, 吴家廉, 等. 食道异物取出术麻醉方式的临床研究[J]. 重庆医学, 2002, 31(8):711-712.
18. 祁春, 王金玉. 老年食管异物55例诊治[J]. 中国眼耳鼻喉科杂志, 2007, 7(3):164-165.
19. 毛弈韬, 聂智樱, 杨福伟, 等. 食管异物引起严重并发症的临床分析[J]. 临床耳鼻咽喉头颈外科杂志, 2012, 26(24):1111-1112, 1115.

West China Medical Journal

Clinical Application of Lateral Neck Incision in the Removal of Incarcerated Esophageal Foreign Body

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