Videofiberoptic examination of the pharyngoesophageal segment and esophagus in patients after total laryngectomy
2003
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. © 2003 Wiley Periodicals, Inc. Head Neck 25: 858–863, 2003
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
15
References
4
Citations
NaN
KQI