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Videofiberoptic examination of the pharyngoesophageal segment and esophagus in patients after total laryngectomy

✍ Scribed by Pen-Yuan Chu; Yuan-Ching Guo; Shyh-Kuan Tai; Jui-Ling Hwang; Tung-Lung Tsai; Shyue-Yih Chang

Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
109 KB
Volume
25
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Background.

Posttreatment follow‐up in patients with squamous cell carcinoma of the head and neck is critical because of the high risk of recurrence or a new primary tumor. However, in patients who have undergone total laryngectomy, evaluation of the pharyngoesophageal segment (PES) and esophagus is difficult.

Methods.

Sixty patients who had undergone total laryngectomy received a videofiberoptic examination of the PES and esophagus at the OPD office during follow‐up.

Results.

Satisfactory examination was achieved in 56 (93%) of the patients. Each procedure was completed within 15 minutes. Although only 11 (18%) of the patients were symptomatic at follow‐up, 19 patients (34%) had significant findings, including one local recurrence and two secondary esophageal cancers. Patients were asymptomatic in all three cases.

Conclusions.

Videofiberoptic examination is a simple, effective, and relatively noninvasive method that can be performed in the OPD office to evaluate the PES and esophagus in patients after total laryngectomy. Β© 2003 Wiley Periodicals, Inc. Head Neck 25: 858–863, 2003

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