Endoscopic techniques used in scarring stenoses after laryngectomy. Clinical observation
https://doi.org/10.17650/2782-3202-2022-2-2-45-50
Abstract
Dysphagia and formation of scarring stenoses after laryngectomy are common complications in oncological practice. One of the treatment methods for the strictures is endoscopic balloon dilation which is characterized by relatively high effectiveness. However, in patients who underwent both laryngectomy and chemoradiation treatment (before or after surgery), the risk of recurring scarring strictures is significantly higher. The article describes a case of successful treatment of a patient with dysphagia after integrative treatment of laryngeal cancer consisting of chemoradiotherapy and laryngectomy. After multiple procedures of balloon dilation, endoscopic stenting of the scar narrowing was performed.
About the Authors
I. N. Iurichev
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
Ilia N. Iurichev.
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081.
V. V. Vereshchak
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081.
A. M. Mudunov
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081.
A. A. Marienko
Clinical Hospital “Lapino” of the “Mother and Child” Group of companies
Russian Federation
Russian Federation
111 1st Uspenskoe Shosse, Lapino, Moscow region 143081.
References
1. Petersen J.F., Timmermans A.J., van Dijk B.A.C. et al. Trends in treatment, incidence and survival of hypopharynx cancer: a 20-year population-based study in the Netherlands. Eur Archiv Otorhinolaryngol 2018;275(1):181—9. DOI: 10.1007/s00405-017-4766-6.
2. Zenga J., Goldsmith T., Bunting G., Deschler D.G. State of the art: rehabilitation of speech and swallowing after total laryngectomy. Oral Oncol 2018;86:38-47. DOI: 10.1016/j.oraloncology.2018.08.023.
3. Sweeny L., Golden J.B., White H.N. et al. Incidence and outcomes of stricture formation postlaryngectomy. Otolaryngol Head Neck Surg 2012;146(3):395-402. DOI: 10.1177/0194599811430911.
4. Maclean J., Cotton S., Perry A. Postlaryngectomy: it's hard to swallow: an Australian study of prevalence and self reports of swallowing function after a total laryngectomy. Dysphagia 2009;24(2):172-9. DOI: 10.1007/s00455-008-9189-5.
5. van Boeckel P.G.A., Siersema P.D. Refractory esophageal strictures: what to do when dilation fails. Curr Treat Options Gastroenterol 2015;13(1):47-58. DOI: 10.1007/s11938-014-0043-6.
6. Moss W.J., Pang J., Orosco R.K. et al. Esophageal dilation in head and neck cancer patients: a systematic review and meta-analysis. Laryngoscope 2018;128(1):111-7. DOI: 10.1002/lary.26618.
7. Mendelson A.H., Small A.J., Agarwalla A. et al. Esophageal anastomotic strictures: outcomes of endoscopic dilation, risk of recurrence and refractory stenosis, and effect of foreign body removal. Clin Gastroenterol Hepatol 2015;13(2):263-71.e1. DOI: 10.1016/j.cgh.2014.07.010.
8. Kochman M.L., McClave S.A., Boyce H.W. The refractory and the recurrent esophageal stricture: a definition. Gastrointest Endoscop 2005;62(3):474-5. DOI: 10.1016/j.gie.2005.04.050.
9. Hindy P., Hong J., Lam-Tsai Y., Gress F. A comprehensive review of esophageal stents. Gastroenterol Hepatol (N Y) 2012;8(8):526-34.
10. Fuccio L., Hassan C., Frazzoni L. et al. Clinical outcomes following stent placement in refractory benign esophageal stricture: a systematic review and meta-analysis. Endoscopy 2016;48(2):141-8. DOI: 10.1055/s-0034-1393331.
Review
For citations:
Iurichev I.N., Vereshchak V.V., Mudunov A.M., Marienko A.A. Endoscopic techniques used in scarring stenoses after laryngectomy. Clinical observation. MD-Onco. 2022;2(2):45-50. (In Russ.) https://doi.org/10.17650/2782-3202-2022-2-2-45-50
Views:
218
Email this article 