Caustic ingestion injuries of the upper aerodigestive tract
作者:
John C. Scott,
Bronwyn Jones,
David W. Eisele,
William J. Ravich,
期刊:
The Laryngoscope
(WILEY Available online 1992)
卷期:
Volume 102,
issue 1
页码: 1-8
ISSN:0023-852X
年代: 1992
DOI:10.1288/00005537-199201000-00001
出版商: John Wiley&Sons, Inc.
数据来源: WILEY
摘要:
AbstractFew reports have described in detail the injuries that occur to the oral cavity, pharynx, and larynx following caustic ingestion.1The role of dynamic radiographic studies to delineate the extent of damage has been minimized.2In‐depth radiographic analysis of such cases has not, to our knowledge, been previously reported. In order to examine the injuries and functional abnormalities of these sites following caustic ingestion, the records of The Johns Hopkins Swallowing Center were reviewed. Five patients were identified as having significant upper aerodigestive tract caustic injuries. All patients had dysphagia, epiglottis injuries, and incomplete laryngeal protection with aspiration. Four of five had sustained some degree of esophageal stenosis. Also noted were pharyngeal muscle dysfunction, nasopharyngeal regurgitation, tongue fixation, and hypopharyngeal stenosis. Roentgenographic findings are described and illustrated. The multidisciplinary approach to the management and rehabilitation of these patients is discusse
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