Penetrating pharynx wound reaching mediastinum. Which is the proper surgical approach?
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Abstract
We report the case of a knife penetrating wound from the hypopharynx-cervical esophagus area to the posterior mediastinum in a 91-year-old patient. The surgical approach for this patient required a transoral examination with direct laryngoscopy and a right cervicotomy. Although it was not necessary to perform a thoracotomy, the position of the knife, stuck towards the posterior mediastinum, made the presence of an interdisciplinary team in the operating room necessary.
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