Skip to main content
Top
Published in: Dysphagia 2/2003

01-05-2003 | Case Report

Complication of Esophageal Self-Dilation for Radiation-Induced Hypopharyngeal Stenosis

Authors: Matthew L. Kashima, MD, MPH, David W. Eisele, MD

Published in: Dysphagia | Issue 2/2003

Login to get access

Abstract

We present an unusual case of hypopharyngeal stenosis, secondary to radiation therapy for laryngeal squamous cell carcinoma, complicated by repeated inadvertent passage of a Maloney dilator through the larynx into the right mainstem bronchus during self-dilation. A brief review of esophageal/hypopharyngeal stenosis and management alternatives is presented. Self-dilation is presented as a therapeutic method for recurrent stenosis of the hypopharynx and esophagus. Recognition and avoidance of this complication is discussed.
Literature
1.
go back to reference Sawyer, R 1985Treatment of upper esophageal strictures.Otolaryngol Head Neck Surg93379384PubMed Sawyer, R 1985Treatment of upper esophageal strictures.Otolaryngol Head Neck Surg93379384PubMed
2.
go back to reference O'Rourke, IC, Tiver, K, Bull, C, Gebski, V, Langlands, AO 1988Swallowing performance after radiation therapy for carcinoma of the esophagus.Cancer6120222026PubMed O'Rourke, IC, Tiver, K, Bull, C, Gebski, V, Langlands, AO 1988Swallowing performance after radiation therapy for carcinoma of the esophagus.Cancer6120222026PubMed
3.
go back to reference Lee, DJ 1993Complications of radiation therapy.Eisele, DW eds. Complications in Head and Neck Surgery,MosbyPhiladelphia123134 Lee, DJ 1993Complications of radiation therapy.Eisele, DW eds. Complications in Head and Neck Surgery,MosbyPhiladelphia123134
4.
go back to reference Strauss, M 1983Long term complication of radiotherapy confronting the head and neck surgeon.Laryngoscope93310313PubMed Strauss, M 1983Long term complication of radiotherapy confronting the head and neck surgeon.Laryngoscope93310313PubMed
5.
go back to reference Silvain, C, Barrioz, T, Besson, I, Babin, P, Fontanel, JP, Daben, A, Matuchansky, C, Beauchant, M 1933Treatment and long term outcome of chronic radiation esophagitis after radiation therapy for head and neck tumors.Dig Dis Sci38927931 Silvain, C, Barrioz, T, Besson, I, Babin, P, Fontanel, JP, Daben, A, Matuchansky, C, Beauchant, M 1933Treatment and long term outcome of chronic radiation esophagitis after radiation therapy for head and neck tumors.Dig Dis Sci38927931
6.
go back to reference Lepke, R, Libshitz, H 1983Radiation induced injury of the esophagus.Radiology148375378PubMed Lepke, R, Libshitz, H 1983Radiation induced injury of the esophagus.Radiology148375378PubMed
7.
go back to reference Boal, DKB, Newberger, PE, Teele, RL 1979Esophagitis induced by combined radiation and adriamycin.AJR Am J Roentgenol132567570PubMed Boal, DKB, Newberger, PE, Teele, RL 1979Esophagitis induced by combined radiation and adriamycin.AJR Am J Roentgenol132567570PubMed
8.
go back to reference Chabora, BM, Hopfan, S, Wittes, R 1977Esophageal complications in the treatment of oat cell carcinoma with combined irradiation and chemotherapy.Radiology123185187PubMed Chabora, BM, Hopfan, S, Wittes, R 1977Esophageal complications in the treatment of oat cell carcinoma with combined irradiation and chemotherapy.Radiology123185187PubMed
9.
go back to reference Greco, FA, Brereton, HD, Kent, H, Zimbler, H, Merrill, J, Johnson, RE 1976Adriamycin and enhanced radiation reaction in normal esophagus and skin.Ann Intern Med85294298PubMed Greco, FA, Brereton, HD, Kent, H, Zimbler, H, Merrill, J, Johnson, RE 1976Adriamycin and enhanced radiation reaction in normal esophagus and skin.Ann Intern Med85294298PubMed
10.
go back to reference Seeman, H, Gates, J, Morris, T 1992Esophageal dysfunction years after radiation therapy.Dig Dis Sci37303306PubMed Seeman, H, Gates, J, Morris, T 1992Esophageal dysfunction years after radiation therapy.Dig Dis Sci37303306PubMed
11.
go back to reference Chowhan, N 1990Injurious effects of radiation on the esophagus.Am J Gastroenterol85115120PubMed Chowhan, N 1990Injurious effects of radiation on the esophagus.Am J Gastroenterol85115120PubMed
12.
go back to reference Goldstein, HM, Rogers, LF, Fletcher, GH, Dodd, GD 1975Radiological manifestation of radiation induced injury to the normal upper gastrointestinal tract.Radiology117134140 Goldstein, HM, Rogers, LF, Fletcher, GH, Dodd, GD 1975Radiological manifestation of radiation induced injury to the normal upper gastrointestinal tract.Radiology117134140
13.
go back to reference Moody, GA, Probert, CSJ 1992Mercury bougie self-dilation of the esophagus in the 1990s.J Clin Gastoenterol15264273 Moody, GA, Probert, CSJ 1992Mercury bougie self-dilation of the esophagus in the 1990s.J Clin Gastoenterol15264273
14.
go back to reference Nelson, RS, Hernandez, AJ, Goldstein, HM, Saca, A 1979Treatment of irradiation esophagitis. Value of hydrocortisone injection.Am J Gastroenterol711723PubMed Nelson, RS, Hernandez, AJ, Goldstein, HM, Saca, A 1979Treatment of irradiation esophagitis. Value of hydrocortisone injection.Am J Gastroenterol711723PubMed
15.
go back to reference American Society for Gastrointestinal Endoscopy1998Esophageal dilation.Gastrointest Endosc48702704 American Society for Gastrointestinal Endoscopy1998Esophageal dilation.Gastrointest Endosc48702704
16.
go back to reference Palmer, ED 1966The requirement for esophageal bougienage.GP3397101PubMed Palmer, ED 1966The requirement for esophageal bougienage.GP3397101PubMed
17.
go back to reference Boyce, HW 1977Precepts of safe esophageal dilation.Gastrointest Endosc23215PubMed Boyce, HW 1977Precepts of safe esophageal dilation.Gastrointest Endosc23215PubMed
18.
go back to reference Heiser, MC 1990Esophageal self-dilatation: interdisciplinary responsibilities for a comprehensive treatment plan.Gastroenterol Nurs12246249PubMed Heiser, MC 1990Esophageal self-dilatation: interdisciplinary responsibilities for a comprehensive treatment plan.Gastroenterol Nurs12246249PubMed
19.
go back to reference Monda, LA 1999Diagnosis and treatment of esophageal strictures.Radiol Technol70361372PubMed Monda, LA 1999Diagnosis and treatment of esophageal strictures.Radiol Technol70361372PubMed
20.
go back to reference Buchin, PJ, Spiro, HM 1981Therapy of esophageal strictures: review of 84 patients.J Clin Gastroenterol3121128PubMed Buchin, PJ, Spiro, HM 1981Therapy of esophageal strictures: review of 84 patients.J Clin Gastroenterol3121128PubMed
21.
go back to reference Pasricha, PJ, Ravich, W 1993Complications of flexible esophagoscopy.Eisele, DW eds. Complications in Head and Neck Surgery.MosbyPhiladelphia285291 Pasricha, PJ, Ravich, W 1993Complications of flexible esophagoscopy.Eisele, DW eds. Complications in Head and Neck Surgery.MosbyPhiladelphia285291
22.
go back to reference Newburger, PE, Cassady, JR, Jaffle, N 1976Esophagitis due to adriamycin and radiation for childhood malignancy.Cancer42417422 Newburger, PE, Cassady, JR, Jaffle, N 1976Esophagitis due to adriamycin and radiation for childhood malignancy.Cancer42417422
Metadata
Title
Complication of Esophageal Self-Dilation for Radiation-Induced Hypopharyngeal Stenosis
Authors
Matthew L. Kashima, MD, MPH
David W. Eisele, MD
Publication date
01-05-2003
Publisher
Springer-Verlag
Published in
Dysphagia / Issue 2/2003
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-002-0093-0

Other articles of this Issue 2/2003

Dysphagia 2/2003 Go to the issue