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Chu, P.Y. et al.

Chu, Guo, Tai, Hwang, Tsai, Chang,

Videofiberoptic examination of the pharyngoesophageal segment and esophagus in patients after total laryngectomy.

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.[1]

References

Videofiberoptic examination of the pharyngoesophageal segment and esophagus in patients after total laryngectomy. Chu, P.Y., Guo, Y.C., Tai, S.K., Hwang, J.L., Tsai, T.L., Chang, S.Y. Head & neck. (2003) [Pubmed]

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