THE THORACOTOMY, CERVICAL MEDIASTHENOTOMY AND ESOPHAGOTOMY WITH COMPLICATED FOREIGN BODY OF THE ESOPHAGUS

The foreign body of the esophagus is a complex problem of practical otorhinolaryngology. Untimely diagnosis leads to the development of severe and life-threatening complications: esophagitis, paraesthephagitis, perforation of the esophagus, mediastinitis. The treatment consists of removing a foreign body by ezofagoskopii in otolaryngologic hospitals. In the case of late treatment of patients who have had perforation of the esophagus with the development of purulent mediastinitis after the removal of the foreign body, the operation of thoracotomy with esophagotomy ends with adequate drainage of the damage zone. The actual observation of the complicated foreign body of the esophagus is given. It is known from the anamnesis that the patient accidentally invented swallowed a denture. At admission to the patient X-ray of the chest area and contrast X-ray of the esophagus were performed. The patient is diagnosed with: foreign body of the esophagusAn foreign body of the esophagus with damage to the walls of the esophagus. Under general intubational anesthesia, esophagoscopy and several attempts to remove an foreign body have been performed. Due to the significant inoculation, the foreign body could not be removed, so the patient was transferred to the department of thoracic surgery, where he was left lateral thoracotomy on the right, mediastinotomy, atypical resection of the right lumbar vertebra and cervical mediastinotomy on the left with the sewing of traumatic defects of the esophagus to remove the foreign body. At the end of surgical interventions that went without complications, nasogastric probe was established. The patient was discharged home after 19 days after an intervention. This unusual clinical case suggests that early diagnosis and emergency removal of foreign bodies form the basis for the prevention of complications, and in case of complications of foreign bodies of the esophagus that present a threat to life, patients are subject to adequate treatment using otolaryngologic and thoracosurgical surgical interventions.