Lance E Oxford1, Yadranko Ducic. 1. Department of Otolaryngology - Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Abstract
OBJECTIVES: To evaluate and describe retrograde endoscopic dilation of 100% strictures of the cervical esophagus and hypopharynx. METHODS AND MATERIALS: All patients who presented to the senior author (Y.D.) from September 1997 to September 2003 with strictures of the cervical esophagus and hypopharynx were retrospectively reviewed. RESULTS: Six patients with 100% strictures of the cervical esophagus and hypopharynx were available for review. Eighty-three percent of these patients were successfully treated endoscopically with the outlined technique. All were able to handle their secretions successfully, and four were no longer dependent on a gastrostomy tube. CONCLUSIONS: Retrograde dilation of complete strictures of the hypopharynx and cervical esophagus appears to be safe, reliable, and associated with a high rate of ultimate success. It should be considered a first-line treatment prior to open approaches, which may be reserved for failures.
OBJECTIVES: To evaluate and describe retrograde endoscopic dilation of 100% strictures of the cervical esophagus and hypopharynx. METHODS AND MATERIALS: All patients who presented to the senior author (Y.D.) from September 1997 to September 2003 with strictures of the cervical esophagus and hypopharynx were retrospectively reviewed. RESULTS: Six patients with 100% strictures of the cervical esophagus and hypopharynx were available for review. Eighty-three percent of these patients were successfully treated endoscopically with the outlined technique. All were able to handle their secretions successfully, and four were no longer dependent on a gastrostomy tube. CONCLUSIONS: Retrograde dilation of complete strictures of the hypopharynx and cervical esophagus appears to be safe, reliable, and associated with a high rate of ultimate success. It should be considered a first-line treatment prior to open approaches, which may be reserved for failures.