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Radiologically guided balloon dilatation of neopharyngeal strictures following total laryngectomy and pharyngolaryngectomy: 21 years’ experience

Published online by Cambridge University Press:  20 October 2009

R L Harris ,
A Grundy  and
T Odutoye
R L Harris*
Affiliation:
Department of Otolaryngology, St George's Hospital, London, UK
A Grundy
Affiliation:
Department of Radiology, St George's Hospital, London, UK
T Odutoye
Affiliation:
Department of Otolaryngology, St George's Hospital, London, UK
*
Address for correspondence: Mr R L Harris, Department of Otolaryngology, St George's Hospital, Blackshaw Road, London SW17 OQT, UK. Fax: 0207 829 8644 E-mail: [email protected]
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Abstract

Objective:

To assess the efficacy of radiologically guided balloon dilatation for the treatment of dysphagia secondary to neopharyngeal strictures in patients who have undergone laryngectomy.

Study design:

Retrospective case series.

Subjects and methods:

Twenty consecutive patients with pharyngeal stricture and dysphagia following total laryngectomy or pharyngolaryngectomy. Patients underwent balloon dilatation of the stricture under radiological guidance. The main outcome measure was maintenance of swallowing.

Results:

Five patients gained relief of their dysphagia with one balloon dilatation only. Nine patients required more than one dilatation to maintain swallowing. Two patients had balloon dilatation procedures and stent insertion for palliative relief of dysphagia from known recurrent malignant disease. Three patients failed to maintain swallowing with repeat dilatations. No patients suffered any significant complications such as perforation.

Conclusions:

Radiologically guided balloon dilatation is minimally invasive and safe. It is well tolerated. It may be repeated frequently, and can successfully relieve pharyngeal strictures in patients who have undergone total laryngectomy or pharyngolaryngectomy.

Keywords

LaryngectomyPharyngectomyBalloon Dilatation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 2 , February 2010 , pp. 175 - 179
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented at the American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting, 21–24 September 2008, Chicago, Illinois, USA.

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