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Cervical oesophagostomy in patients with severe dysphagia following radiotherapy for nasopharyngeal carcinoma

  • Y-J Wang (a1), W-X Chen (a1), J-L Zhang (a1), F-Y He (a1), Z-F Zhu (a1), Y Zeng (a1), F Yang (a1) and S-C Tang (a1)...

Abstract

Objective:

This study aimed to investigate the validity and feasibility of cervical oesophagostomy as a treatment for patients with severe dysphagia after radiotherapy for nasopharyngeal carcinoma.

Methods:

The study retrospectively analysed the clinical data, symptoms, physical signs, treatment and outcomes of 12 patients treated with cervical oesophagostomy for severe dysphagia after radiotherapy for nasopharyngeal carcinoma, from 2006 to 2010.

Results:

In all 12 cases, the oesophageal stoma remained stable, without any complications such as pharyngeal fistula or inflammation. No oesophageal stricture or granuloma growth was observed. All patients reported significant improvement in their nutritional status and quality of life after the oesophagostomy surgery.

Conclusion:

Cervical oesophagostomy is a valid and feasible method of treating severe dysphagia following radiotherapy for nasopharyngeal carcinoma. Oesophagostomy shows specific advantages over nasogastric tubing, gastrostomy and jejunostomy. Patients' nutrition and quality of life can be improved significantly if cervical oesophagostomy is executed in a timely fashion, especially in cases with severe trismus and multiple radiation-induced cranial nerve palsies unresponsive to rehabilitation.

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Copyright

The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution licence http://creativecommons.org/licenses/by/3.0/

Corresponding author

Address for correspondence: Dr Yue-Jian Wang, Department of Otorhinolaryngology, First People's Hospital of Foshan, 81 Lingnan North Rd, Foshan, Guangdong 528000, PR China Fax: +757 83163822 E-mail: wyjian01@163.com

References

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