1982
DOI: 10.1148/radiology.143.2.7071354
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Barium examination of the esophagus after total laryngectomy.

Abstract: Barium examination of the esophagus is often useful for evaluating the cause of dysphagia, a frequent condition in patients who have undergone total laryngectomy. The examination may be difficult to interpret, however, because a variety of anatomic changes may be produced by radiation, infection, fistula, recurrent tumor, or the operation itself. Radiographic and clinical information on 45 total-laryngectomy patients, whose follow-up periods ranged from six months to 17 years, were analyzed. A recurrent tumor … Show more

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Cited by 76 publications
(47 citation statements)
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“…Postlaryngectomy patients experience dysphagia in up to 58% of cases. 14,15 Closure of the pharynx after removal of the anterior wall results in narrowing of the new lumen and absence of the negative pressure generated previously by elevation of the larynx and opening of the cricopharyngeus. Benign stricture of the hypopharynx is another important postoperative cause of dysphagia in this patient population.…”
Section: Discussionmentioning
confidence: 99%
“…Postlaryngectomy patients experience dysphagia in up to 58% of cases. 14,15 Closure of the pharynx after removal of the anterior wall results in narrowing of the new lumen and absence of the negative pressure generated previously by elevation of the larynx and opening of the cricopharyngeus. Benign stricture of the hypopharynx is another important postoperative cause of dysphagia in this patient population.…”
Section: Discussionmentioning
confidence: 99%
“…Analog zur Technik beim Zenker-Divertikel [11] wurde der Hypopharynxtrichter mit dem Spreizlaryngoskop nach Weerda eingestellt, die Ösophagusrückwand mit einem gut befeuchteten Tupfer geschützt und das Narbensegel mit dem CO 2 [1,2,5].…”
Section: Materials Und Methodeunclassified
“…Als weitere Ursache von Schluckstörungen nach Laryngektomie ist die Ausbildung einer divertikelartigen Aussackung ventral eines querliegenden Narbensegels zwischen Zungengrund und Hypopharynxtrichter in Betracht zu ziehen [1][2][3][4]. Für diese Aussackung wurde wegen der Ähnlichkeit mit einem Zenker-Divertikel der Begriff des "anterior neopharyngeal diverticulum" [3] bzw.…”
Section: Materials Und Methodeunclassified
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“…A reconstructive procedure was ultimately necessary. possible underlying causes is extensive and the contribution of physical examination is relatively small [17]. Videotaped fluoroscopy is therefore the usual method employed in the initial assessment.…”
Section: Differential Diagnosand Of Postoperative Dysphagiamentioning
confidence: 99%