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

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. The study retrospectively analysed the clinical data, symptoms, physical signs, treatment and outcomes of 12 pati...

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Bibliographic Details
Published in:Journal of laryngology and otology 2014-02, Vol.128 (2), p.142-146
Main Authors: Wang, Y-J, Chen, W-X, Zhang, J-L, He, F-Y, Zhu, Z-F, Zeng, Y, Yang, F, Tang, S-C
Format: Article
Language:English
Subjects:
Adult
Aged
Cancer
Carcinoma
Deglutition Disorders - etiology
Deglutition Disorders - surgery
Dysphagia
Endoscopy
Esophagostomy - adverse effects
Esophagostomy - methods
Humans
Main
Main Articles
Male
Middle Aged
Nasopharyngeal Carcinoma
Nasopharyngeal Neoplasms - radiotherapy
Neurological disorders
Ostomy
Patients
Pneumonia
Radiation therapy
Retrospective Studies
Surgery
Thyroid gland
Tracheotomy
Treatment Outcome
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Summary: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. 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. 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. 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.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215113003423