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An unusual complication of Cloward's procedure presenting to the otolaryngologist

Published online by Cambridge University Press:  29 June 2007

Salil B. Nair ,
Liam M. Flood  and
Fred Nath
Salil B. Nair*
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK
Liam M. Flood
Affiliation:
Department of Otolaryngology, North Riding Infirmary, Middlesbrough, UK
Fred Nath
Affiliation:
Department of Neurosurgery, Middlesbrough General Hospital, Middlesbrough, UK
*
Address for correspondence: Mr S. B. Nair, F.R.C.S., Department of Otolaryngology, North Riding Infirmary, Newport Road, Middlesbrough TS1 5JE
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Abstract

We present the case of a 51-year-old lady who developed a CSF leak following a Cloward's procedure (anterior cervical surgery with fusion), which settled with conservative management. Two months following the surgery she was assessed by an otolaryngologist for persistent dysphagia and a swelling in the anterior triangle of her neck. A computed tomography (CT) scan identified a fluid-filled mass displacing the trachea and communicating with the anterior cervical vertebrae, thus confirming th e persistence of a CSF leak.

Keywords

Clowards procedure, Dysphagia, CSF leak
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1087 - 1089
Copyright
Copyright © JLO (1984) Limited 1998

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References

Bertalanffy, H., Eggert, H. R. (1989) Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochirurgica 99: 41–50.CrossRefGoogle ScholarPubMed
Clark, W. K. (1982) Anterior operative approaches for benign extradural cervical lesions. In Neurological Surgery. 2nd Edition. (Youmans, J. R., ed.) W. B. Saunders, Philadelphia, pp 2613–2628.Google Scholar
Cloward, R. B. (1962) New method of diagnosis and treatment of cervical disc disease. Clinical Neurosurgery 8: 93–132.CrossRefGoogle Scholar
Espersen, J. O., Buhl, M., Eriksen, E. F., Fode, K., Klaerke, A., Kroyer, L., Lindeberg, H., Madsen, C. B., Strange, P., Wohlert, L. (1984) Treatment of cervical disc disease using Cloward's technique. Part 1. General results, effect of different operative methods and complications in 1,106 patients. Acta Neurochirurgica 70: 97–114.Google Scholar
Espersen, J. O., Klaerke, A., Buhl, M., Eriksen, E. F., Fode, K., Kroyer, L., Lindeberg, H., Madsen, C. B., Strange, P., Wohlert, L. (1987) Treatment of cervical disc disease using Cloward's technique. Part V. The effect of reoperations. Acta Neurochirurgica 88: 34–38.Google Scholar
Jennett, B., Lindsay, K. (1994) Prolapsed intervertebral disc. In An Introduction to Neurosurgery. 5th Edition. Butter-worth Heinmann, London, pp 275–277.Google Scholar
Hoff, J., Hood, T. (1990) Anterior operative approaches for benign extradural cervical lesions. In Neurological Surgery. 3rd Edition, vol 4, (Youmans, J. R., ed.) W. B. Saunders, Philadelphia, pp 2923–2936.Google Scholar
Lunsford, L. D., Bissonette, D. J., Zorub, D. S. (1980) Anterior surgery for cervical disc disease. Part 2: Treatment of cervical spondylotic myelopathy in 32 cases. Journal of Neurosurgery 53: 12–19.Google Scholar
Tew, J. M. J., Mayfield, R. H. (1976) Complications of surgery of the anterior cervical spine. Clinical Neurosurgery 23: 424–434.Google Scholar
Violon, P., Patay, Z., Braeckeveldt, J., Pirotte, B., Kentos, A., Brotchi, J., Baleriaux, D. (1997) An atypical infectious complication of anterior cervical surgery. Neuroradiology 39: 278–281.Google Scholar