A Preliminary Study of Office-Based Transnasal Endoscopic Balloon Dilatation of Pharyngoesophageal Stricture after Total Laryngectomy
- Author:
Karam KANG
1
;
Doh Young LEE
;
Hyunjung KIM
;
Jae Hyung KIM
;
Hye Min HAN
;
Ln Hak CHOI
;
Seung Kuk BAEK
;
Kwang Yoon JUNG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea. kyjungmd@gmail.com
- Publication Type:Original Article
- Keywords:
Pharyngoesophageal stricture;
Total laryngectomy;
Transnasal;
Balloon dilatation
- MeSH:
Anesthesia, General;
Constriction, Pathologic;
Deglutition Disorders;
Diet;
Dilatation;
Endoscopy;
Humans;
Laryngectomy;
Methods;
Quality of Life;
Recurrence;
Steroids
- From:
Journal of the Korean Dysphagia Society
2018;8(1):30-34
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: Pharyngoesophageal stricture formation and dysphagia following total laryngectomy negatively affect quality of life and result in nutritional compromise that can be successfully managed with various techniques. This study was conducted to describe our experiences of office-based balloon dilatation by transnasal endoscopy, which can be performed by an otolaryngologist. METHOD: The present study investigated three patients who underwent transnasal endoscopy guided balloon dilatation of pharyngoesophageal stricture. The assessment was performed based on the number of procedures and recurrences, final subjective outcomes, and complications. RESULT: There were no post-procedural complications. In one patient, a scarric band was found after the procedure; therefore, steroids were injected into the stricture site. There were 2–3 balloon dilatations and the interval between dilatations was 3–6 months. All patients were able to tolerate solid diet after 2 or 3 sessions. CONCLUSION: Transnasal endoscopic balloon dilatation, which can be easily performed by an otolaryngologist in an office setting without sedation or general anesthesia, can be a useful modality for treating pharyngoesophageal stricture after total laryngectomy.
