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Year : 2015  |  Volume : 4  |  Issue : 3  |  Page : 199-201

Sternocleidomastoid flap for repair of pharyngocutaneous fistula following anterior cervical spine surgery

Department of Surgery, College of Medicine and Medical Sciences, Taif University, P.O. Box: 888; Department of Surgery, King Abdul-Aziz Specialist Hospital, P.O. Box: 10127, Taif, Kingdom of, Saudi Arabia

Correspondence Address:
Majed Al-Mourgi
Department of Surgery, College of Medicine, Taif University, P.O. Box: 888, Taif 21947
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-0521.171428

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Pharyngocutaneous fistula is a rare complication of anterior cervical approach for spinal surgery. In this report, I will present the case of a 25-year-old Indian male who developed pharyngocutaneous fistula after fixation of cervical vertebral fracture using the anterior approach. The condition was diagnosed first as wound infection, and the pharyngeal injury was confirmed by computed tomography scan with contrast. The repair was done using sternocleidomastoid muscle flap. Being familiar with pharyngocutaneous fistula as a complication of anterior cervical approach for spinal surgery is essential for early diagnosis and repair of the fistula. Reinforcement by sternocleidomastoid muscle flap is proved to be effective to prevent recurrence.

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