The ingestion of caustic materials may cause burns and subsequent strictures of the esophagus. Depending on the extent of the injury, the stricture may require dilation, excision, or bypass with an esophageal replacement. There is also a risk of esophageal dysfunction, perforation, and malignancy. Here is presented a case of a burn so severe that the hypopharynx was deformed and the esophagus destroyed. Composite techniques restored complete gastrointestinal continuity while maintaining excellent swallowing function.
SweeneyRLDoolinEJ. Head and neck trauma: Special considerations in children. Top Emerg Med1991; 13: 78–86.
2.
TewfikTLSchlossMD. Ingestion of lye and other corrosive agents. A study of 86 infant and child cases. J Otolaryngol1980; 9: 72–7.
3.
HallerJAAndrewsHGWhiteJJTamerMAClevelandWW. Pathophysiology and management of acute corrosive burns of the esophagus: Results of treatment in 285 children. J Pediatr Surg1971; 6: 578–84.
4.
HillJLNorbergHPSmithMDYoungJAReyesHM. Clinical technique and success of the esophageal stent to prevent corrosive strictures. J Pediatr Surg1976; 11: 443–50.
5.
WebbWRKoutrasPEckerRRSuggWL. An evaluation of steroids and antibiotics in caustic burns of the esophagus. Ann Thorac Surg1970; 9: 95–102.
6.
TytgatGN. Dilation therapy of benign esophageal stenoses. World J Surg1989; 13: 142–8.
MyerCMIIIBallWASJrBissetGJSIII. Balloon dilatation of esophageal strictures in children. Arch Otolaryngol Head Neck Surg1991; 117: 529–32.
9.
HolingerPHJohnstonKCPottsWJdaCunhaF. The conservative and surgical management of benign strictures of the esophagus. J Thorac Surg1954; 28: 345–66.
10.
HurwitzDJRabsunJAFutrellJW. The anatomic basis for the platysma skin flap. Plast Reconstr Surg1982; 77: 302–9.
11.
CannonCRJohnsMEAtkinsJPKeaneWMCantrellRW. Reconstruction of the oral cavity using the platysma myocutaneous flap. Arch Otolaryngol1982; 108: 491–4.
12.
FriedmanMSchildJAVenkatesanTK. Platysma myocutaneous flap for repair of hypopharyngeal strictures. Ann Otol Rhinol Laryngol1990; 99: 945–50.
13.
LonginoLAWoolleyMMGrossRE. Esophageal replacement in infants and children with use of a segment of colon. JAMA1959; 171: 1187–92.
14.
GermanJCWaterstonDJ. Colon interposition for the replacement of the esophagus in children. J Pediatr Surg1976; 11: 227–34.
15.
AndersonKDRandolphJG. The gastric tube for esophageal replacement in children. J Thorac Cardiovasc Surg1973; 66: 333–42.
16.
ThomasANDedoHHLimRCSteeleM. Pharyngo-esophageal caustic stricture: Treatment by pharyngogastrostomy compared to colon interposition combined with free bowel graft. Am J Surg1976; 132: 195–203.
17.
IskeceliOK. The use of free jejunal segments in the reconstruction of cervical esophageal defects. Surgery1962; 51: 496–502.
18.
ChangTSWangWHuangOL. One-stage reconstruction of esophageal defect by free transfer of jejunum: Treatment and complications. Ann Plast Surg1985; 15: 492–6.
19.
NortonGAPostlethwaitRWThompsonWM. Esophageal carcinoma: A survey of populations at risk. South Med J1980; 73: 25–7.
20.
HopkinsRAPostlethwaitRW. Caustic burns and carcinoma of the esophagus. Ann Surg1981; 194: 146–8.
21.
TiK. Oesophageal carcinoma associated with corrosive injury — Prevention and treatment by oesophageal resection. Br J Surg1983; 70: 223–5.
22.
RodgersBMRyckmarFCTalbertJL. Blunt transmediastinal total esophagectomy with simultaneous substernal colon interposition for esophageal caustic strictures in children. J Pediatr Surg1981; 16: 184–9.