Radiologically guided balloon dilatation of neopharyngeal strictures following total laryngectomy and pharyngolaryngectomy: 21 years’ experience

Harris, Robert L.; Grundy, A.; Odutoye, Tunde

doi:10.1017/s0022215109991320

Cited by 18 publications

(33 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The included studies are summarized in Table . All studies were retrospective, and most reported outcomes of standard anterograde dilations using bougie or balloon dilators with or without guidewires.…”

Section: Resultsmentioning

confidence: 99%

“…The average patient age was 60 (range 21–89) years, and there was a near 3:1 male predominance (232:87, 73%:27%) . Cancer staging and treatment data were reported variably (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…). Eleven studies reported primary tumor sites for a collective 318 patients: 46% oropharyngeal/hypopharyngeal, 27% laryngeal, 6% oral cavity, and 6% unknown primary . The remaining 15% comprised a collection of less common sites including the nasopharynx, thyroid, trachea, and cervical esophagus.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining 15% comprised a collection of less common sites including the nasopharynx, thyroid, trachea, and cervical esophagus. Three studies reported tumor (T) stages and overall stages for a collective 139 patients: T4 11%, T3 27%, T2 28%, T1 23%, and T0 11% . Overall stages were dominated by advanced disease: IV 62%, III 28%, II 9%, and I 1%.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Esophageal dilation in head and neck cancer patients: A systematic review and meta‐analysis

et al. 2017

View full text Add to dashboard Cite

Objective: To characterize the safety profile and effectiveness of esophageal dilation in head and neck cancer patients. Methods: A systematic review was undertaken for articles reporting outcomes of esophageal dilation in head and neck cancer patients. The Medline, Scopus, Web of Science, and Cochrane databases were searched in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Complications related to esophageal dilation in head and neck cancer patients was the primary outcome of interest. Success rates, demographic data, cancer staging, and treatment data were assessed secondarily. Statistical analyses included both qualitative and quantitative assessments. A limited metaanalysis and pooling of the data was performed using a random effects model.Results: Of the collective 8,243 initial candidate articles, 15 retrospective studies containing data for a collective 449 patients were ultimately included in the analysis. There was significant heterogeneity in the outcomes data. With an overall complication rate of 10.6% (95% confidence interval [CI]: 4.1%,17%) and a pooled success rate of 72.9% (95% CI: 65.7%,80.1%) per patient, the articles generally supported the use of dilation.Conclusion: Head and neck cancer patients experience a higher rate of complications following dilation compared to patients with other causes of benign stricture. Esophageal dilation is effective in improving dysphagia, but these benefits are often transient and thus necessitate repeat interventions.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The average patient age was 60 (range 21–89) years, and there was a near 3:1 male predominance (232:87, 73%:27%) . Cancer staging and treatment data were reported variably (Fig.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Esophageal dilation in head and neck cancer patients: A systematic review and meta‐analysis

et al. 2017

View full text Add to dashboard Cite

show abstract

“…These omissions introduce the potential for selection and reporting bias 12. In 14 studies, extrapolation of the results to all TLE patients can be compromised due to the poor internal validity or small sample sizes (≤20 study participants) 18,19,31,[46][47][48][49][50][51][52][53][54][55][56]. The overall internal validity of 44 studies was of moderate quality.…”

mentioning

confidence: 99%

Diagnosis and treatment of oropharyngeal dysphagia after total laryngectomy with or without pharyngoesophageal reconstruction: Systematic review

et al. 2018

View full text Add to dashboard Cite

Background This systematic review qualitatively summarizes the current literature on diagnosis and treatment of oropharyngeal dysphagia (OD) after total laryngectomy (TLE). Methods Electronic databases PubMed, Embase, and the Cochrane Library were used. Two independent reviewers carried out the literature search and assessed the methodological quality of the included studies using a critical appraisal tool. Results Forty‐four articles met the inclusion criteria. Of these, 35 studies were on diagnosis, four on therapy, and five on both diagnosis and treatment of OD following TLE. Study aims, swallowing‐assessment methods, and main findings of the included studies were summarized and presented. Conclusions The reviewers found heterogeneous outcomes and serious methodological limitations, which prevented us from pooling data to identify trends that would assist in designing best clinical practice protocols for OD following TLE. Further research should focus on several remaining gaps in our knowledge on diagnosis and treatment interventions for OD following TLE.

show abstract

Endoscopic Management of Cervical Esophageal Strictures

Woodward

Brahmbhatt

2021

Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy

View full text Add to dashboard Cite

Radiologically guided balloon dilatation of neopharyngeal strictures following total laryngectomy and pharyngolaryngectomy: 21 years’ experience

Abstract: Radiologically guided balloon dilatation is minimally invasive and safe. It is well tolerated. It may be repeated frequently, and can successfully relieve pharyngeal strictures in patients who have undergone total laryngectomy or pharyngolaryngectomy.

Cited by 18 publications

References 18 publications

Esophageal dilation in head and neck cancer patients: A systematic review and meta‐analysis

Esophageal dilation in head and neck cancer patients: A systematic review and meta‐analysis

Diagnosis and treatment of oropharyngeal dysphagia after total laryngectomy with or without pharyngoesophageal reconstruction: Systematic review

Endoscopic Management of Cervical Esophageal Strictures

Contact Info

Product

Resources

About