Complication of esophageal self-dilation for radiation-induced hypopharyngeal stenosis.
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.
Kashima
Matthew L
ML
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland 21224, USA.
Eisele
David W
DW
D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D004106:Dilatation / Q000009:adverse effects*; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007013:Hypopharynx / Q000000981:diagnostic imaging / Q000528:radiation effects*; D007822:Laryngeal Neoplasms / Q000532:radiotherapy*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects*; D012648:Self Care / Q000009:adverse effects*