[Hemorrhages occurring in reconstructive surgery on the pharynx and cervical esophagus].

Abstract

The author presents 28 cases of cervical hemorrhages occurring in 235 cervical esophagoplasties (11.9%), generated by the lesion of the transplant vessels or of the vessels of the cervical area. The late postoperative hemorrhages are the most severe ones, often cataclysmic (eight cases with five deaths, 62.5%) being mainly the result of the primitive carotid erosion by a salivary fistula. In two cases the cataclysmic hemorrhage appeared after a simple cervical junction for a benign stenosis, a situation not yet mentioned in the literature. The double ligature of the primitive carotid is the only efficient method. Used in four cases, it was successful in three of them, with a single case of tardy hemiplegia following a rachianesthesia.