Complete hypopharyngeal stenosis is rare and challenging to treat. A 72-year-old man underwent total laryngectomy with bilateral radical neck dissection, total thyroidectomy, and pectoralis major myocutaneous flap reconstruction to treat laryngeal cancer. Following adjuvant radiotherapy, the patient developed an hypopharyngeal stenosis. This was initially treated with endoscopic dilations. However, after 3 years, stricture recurrence led to complete obstruction of the hypopharyngeal lumen that required placement of a percutaneous endoscopic gastrostomy tube for nutrition. After failure of endoscopic ultrasound-guided recanalization, an endoscopic magnetic compression anastomosis was attempted
Mascagni, P., Tringali, A., Boskoski, I., Bove, V., Schepis, T., Perri, V., Costamagna, G., Magnetic kissing for the endoscopic treatment of a complete iatrogenic stenosis of the hypopharynx, <<ENDOSCOPY>>, 2023; 2023 (N/A): E499-E500. [doi:10.1055/a-2029-6340] [https://hdl.handle.net/10807/227450]
Magnetic kissing for the endoscopic treatment of a complete iatrogenic stenosis of the hypopharynx
Mascagni, Pietro;Tringali, Andrea;Boskoski, Ivo;Bove, Vincenzo;Schepis, Tommaso;Perri, Vincenzo;Costamagna, Guido
2023
Abstract
Complete hypopharyngeal stenosis is rare and challenging to treat. A 72-year-old man underwent total laryngectomy with bilateral radical neck dissection, total thyroidectomy, and pectoralis major myocutaneous flap reconstruction to treat laryngeal cancer. Following adjuvant radiotherapy, the patient developed an hypopharyngeal stenosis. This was initially treated with endoscopic dilations. However, after 3 years, stricture recurrence led to complete obstruction of the hypopharyngeal lumen that required placement of a percutaneous endoscopic gastrostomy tube for nutrition. After failure of endoscopic ultrasound-guided recanalization, an endoscopic magnetic compression anastomosis was attempted
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
