J Korean Dysphagia Soc.  2018 Jan;8(1):30-34. 10.0000/jkdps.2018.8.1.30.

A Preliminary Study of Office-Based Transnasal Endoscopic Balloon Dilatation of Pharyngoesophageal Stricture after Total Laryngectomy

• Kang K
• Lee DY
• Kim H
• Kim JH
• Han HM
• Choi LH
• Baek SK
• Jung KY

• KMID: 2406779
• DOI: http://doi.org/10.0000/jkdps.2018.8.1.30

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.

Keyword

Pharyngoesophageal stricture; Total laryngectomy; Transnasal; Balloon dilatation

MeSH Terms

Anesthesia, General
Constriction, Pathologic*
Deglutition Disorders
Diet
Dilatation*
Endoscopy
Humans
Laryngectomy*
Methods
Quality of Life
Recurrence
Steroids
Steroids