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Pharyngo-esophageal complications of Ryle tube insertion in neonates: management and fate

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Introduction

The following provides clinical reporting of seven neonates with iatrogenic pharyngeal trauma due to forceful untrained use of nasogastric feeding tube. A range of symptoms were observed beginning with excessive frothy secretions culminating in more severe pneumothorax in some. These cases are presented in the context of an exhaustive literature review producing only 50 similar cases worldwide. Special attention is paid toward accurate diagnosis, prognosis, and guidance on most effective modes of treatment.

Patients and Methods

Using Medtronic flexible nasopharyngolaryngeal endoscope, examination of the presented neonates was done in the neonatal care unit. Some neonates underwent videofluroscopic study.

Conclusion

Ryle tube insertion in neonates could result in range of complications that could be easily avoided and managed.

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There are no financial conflict of interest to disclose.

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Authors and Affiliations

  1. Phoniatrics Unit, Otorhinoloryngology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Ahmed M. Refaat & Mohamed N. Kotby

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  1. Ahmed M. Refaat
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  2. Mohamed N. Kotby
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Correspondence to Ahmed M. Refaat.

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Refaat, A.M., Kotby, M.N. Pharyngo-esophageal complications of Ryle tube insertion in neonates: management and fate. Eur Arch Otorhinolaryngol 277, 3403–3406 (2020). https://doi.org/10.1007/s00405-020-06160-y

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  • DOI: https://doi.org/10.1007/s00405-020-06160-y

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