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Prevalence of pharyngeal and esophageal stenosis following radiation for head and neck cancer.
- Source :
-
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale [J Otolaryngol Head Neck Surg] 2008 Apr; Vol. 37 (2), pp. 219-24. - Publication Year :
- 2008
-
Abstract
- Objective: To evaluate the risk and outcome of pharyngoesophageal stenosis in patients who complained of dysphagia following radiation for head and neck cancer.<br />Design: Retrospective study.<br />Setting: Veterans Administration hospital.<br />Patients: Patients who complained of persistent dysphagia following radiation alone or combined with surgery or chemotherapy for head and neck cancer. Patients were selected if they were cancer free at the time of the swallowing study. All patients had modified barium swallow (MBS) and an endoscopic examination for initial evaluation of their dysphagia. Traditional barium swallow was requested when there was a suspicion of pharyngoesophageal stenosis on MBS.<br />Results: Two hundred twenty-two patients underwent MBS for evaluation of dysphagia posttreatment. Traditional barium swallow confirmed the diagnosis of pharyngeal (n = 2) or esophageal (n = 14) stenosis in 16 patients. Eight patients had esophageal stenosis on endoscopic examination. All patients underwent dilatation for relief of their dysphagia. The number of dilatations performed was, respectively, one in 12 patients, two in 4 patients, three in 3 patients, four in 3 patients, five in one patient, and six in one patient.<br />Conclusion: Pharyngeal and/or cervical esophageal stenosis may be the cause of dysphagia following radiation for head and neck cancer. Esophageal dilatations often offer temporary relief of the dysphagia.
- Subjects :
- Adult
Aged
Aged, 80 and over
Barium Sulfate
Combined Modality Therapy
Constriction, Pathologic diagnostic imaging
Constriction, Pathologic epidemiology
Constriction, Pathologic therapy
Contrast Media
Cross-Sectional Studies
Deglutition Disorders diagnostic imaging
Deglutition Disorders epidemiology
Dilatation
Esophageal Stenosis diagnostic imaging
Esophageal Stenosis therapy
Esophagus diagnostic imaging
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasm Staging
Otorhinolaryngologic Neoplasms drug therapy
Otorhinolaryngologic Neoplasms pathology
Otorhinolaryngologic Neoplasms surgery
Pharyngeal Diseases diagnostic imaging
Pharyngeal Diseases therapy
Pharynx diagnostic imaging
Radiation Injuries diagnostic imaging
Radiation Injuries therapy
Radiography
Retrospective Studies
United States
Esophageal Stenosis epidemiology
Esophagus radiation effects
Otorhinolaryngologic Neoplasms radiotherapy
Pharyngeal Diseases epidemiology
Pharynx radiation effects
Radiation Injuries epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1916-0216
- Volume :
- 37
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
- Publication Type :
- Academic Journal
- Accession number :
- 19128616