1991 Southern Section Triological Paper

Free Access

Caustic ingestion injuries of the upper aerodigestive tract

Corresponding Author

John C. Scott MD

Department of Otolaryngology—Head and Neck Surgery (J.C.S., D.W.E.), the Russell H. Morgan Department of Radiology and Radiological Sciences (B.J.), the Johns Hopkins Swallowing Center (B.J., D.W.E., W.J.R.), and the Department of Medicine, Division of Gastroenterology (W.J.R.), Johns Hopkins Medical Institutions, Baltimore

Carnegie 400, The Johns Hopkins Hospital, 600 N. Wolfe St., Baltimore, MD 21205Search for more papers by this author

Bronwyn Jones MB,

Bronwyn Jones MB

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David W. Eisele MD,

David W. Eisele MD

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William J. Ravich MD,

William J. Ravich MD

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John C. Scott MD,

Corresponding Author

John C. Scott MD

Carnegie 400, The Johns Hopkins Hospital, 600 N. Wolfe St., Baltimore, MD 21205Search for more papers by this author

Bronwyn Jones MB,

Bronwyn Jones MB

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David W. Eisele MD,

David W. Eisele MD

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William J. Ravich MD,

William J. Ravich MD

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First published: January 1992

https://doi.org/10.1288/00005537-199201000-00001

Citations: 189

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Abstract

Few reports have described in detail the injuries that occur to the oral cavity, pharynx, and larynx following caustic ingestion.¹ The role of dynamic radiographic studies to delineate the extent of damage has been minimized.² In-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 discussed.

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Volume102, Issue1

January 1992

Pages 1-8

Caustic ingestion injuries of the upper aerodigestive tract

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Caustic ingestion injuries of the upper aerodigestive tract

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