Pharyngeal trauma: Two unique case reports


The neck is a complex pathway for numerous critical structures and is defined by layers of fascial planes and spaces. Traumatic interruption of these planes can occur with injury to any of the mucosal structures within the head and neck, and is often seen as a consequence of pharyngeal injury. Here, the identification and management of two interesting and unique cases of penetrating oropharyngeal trauma are discussed: oropharyngeal trauma following abuse, and a self-inflicted pharyngeal wound with subsequent foreign body ingestion. We also review the literature regarding diagnosis, treatment, and management of traumatic pharyngeal perforation, and discuss possible complications.

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Colby, C. and Moore, C. (2012) Pharyngeal trauma: Two unique case reports. Open Journal of Clinical Diagnostics, 2, 59-62. doi: 10.4236/ojcd.2012.23013.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Roh, J.-L. and Park, C.I. (2008) Spontaneous pharyngeal perforation after forceful vomiting: The difference from classic Boerhaave’s syndrome. Clinical and Experimental Otorhinolaryngology, 1, 174-176. doi:10.3342/ceo.2008.1.3.174
[2] Demetriades, D., Velmahos, G.G. and Asensio, J.A.. (2001) Cervical pharyngoesophageal and laryngotracheal injuries. World Journal of Surgery, 25, 1044-1048. doi:10.1007/s00268-001-0057-9
[3] Stanley, R.B. Jr., Armstrong, W.B., Fetterman, B.L. and Shindo, M.L. (1997) Management of external penetrating injuries into the hypopharyngeal-cervical esophageal funnel. Journal of Trauma-Injury Infection & Critical Care, 42, 675-679. doi:10.1097/00005373-199704000-00016
[4] Fetterman, B.L., Shindo, M.L., Stanley, R.B. Jr., Armstrong, W.B. and Rice, D.H. (1995) Management of traumatic hypopharyngeal injuries. Laryngoscope, 105, 8-13. doi:10.1288/00005537-199501000-00005
[5] Luqman, Z., Khan, M.A.M. and Nazir, Z. (2005) Penetrating pharyngeal injuries in children: Trivial trauma leading to devastating complications. Pediatric Surgery International, 21, 432-435. doi:10.1007/s00383-005-1447-0
[6] Ahmed, N., Massier, C., Tassie, J., Whalen, J. and Chung, R. (2009) Diagnosis of penetrating injuries of the pharynx and esophagus in the severely injured patient. Journal of Trauma-Injury Infection & Critical Care, 67, 152-154. doi:10.1097/TA.0b013e31817e611d
[7] Hagr, A., Kamal, D. and Tabah, R. (2003) Pharyngeal perforation caused by blunt trauma to the neck. Canadian Journal of Surgery, 46, 57-58.
[8] Lin, H.W., Wieland, A.M. and Ostrower, S.T. (2009) Child abuse presenting as oral cavity bruising. Otolaryngology —Head Neck Surgery, 141, 290-291. doi:10.1016/j.otohns.2009.03.018
[9] Niezgoda, J.A., McMenamin, P. and Graeber, G.M. (1990) Pharyngoesophageal perforation after blunt neck trauma. The Annals of Thoracic Surgery, 50, 615-617. doi:10.1016/0003-4975(90)90199-G

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