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Esophageal lesions after total laryngectomy.

Publication ,  Journal Article
Gibbons, RG; Halvorsen, RA; Foster, WL; Warner, D; Roberts, L; Postlethwait, RW; Thompson, WM
Published in: AJR Am J Roentgenol
June 1985

Clinical and endoscopic evaluation of the post-total laryngectomy patient with dysphagia may be limited by postoperative fibrosis or strictures. The barium esophagogram is a valuable adjunctive tool in further assessing these patients, as both functional and anatomic abnormalities can be evaluated. A 10-year retrospective review yielded 204 patients who had had total laryngectomies for squamous cell carcinoma of the larynx; 85 of these patients had postoperative barium esophagograms. Dysphagia was the chief complaint in 73 of these 85 patients. The studies were reviewed for anatomic abnormalities of the surgically deformed pharynx (neopharynx) and the esophagus distal to it. While most patients (51%) with dysphagia had abnormalities in the neopharynx, 17 (23%) had abnormalities distal to the neopharynx; these included four esophageal carcinomas and 13 benign esophageal strictures. These results emphasize the importance of evaluating the entire esophagus and maintaining a high index of suspicion for distal esophageal disease in the total laryngectomy patient with dysphagia.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

June 1985

Volume

144

Issue

6

Start / End Page

1197 / 1200

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Radiography
  • Postoperative Complications
  • Nuclear Medicine & Medical Imaging
  • Neoplasm Recurrence, Local
  • Middle Aged
  • Male
  • Laryngectomy
  • Humans
  • Head and Neck Neoplasms
 

Citation

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Gibbons, R. G., Halvorsen, R. A., Foster, W. L., Warner, D., Roberts, L., Postlethwait, R. W., & Thompson, W. M. (1985). Esophageal lesions after total laryngectomy. AJR Am J Roentgenol, 144(6), 1197–1200. https://doi.org/10.2214/ajr.144.6.1197
Gibbons, R. G., R. A. Halvorsen, W. L. Foster, D. Warner, L. Roberts, R. W. Postlethwait, and W. M. Thompson. “Esophageal lesions after total laryngectomy.AJR Am J Roentgenol 144, no. 6 (June 1985): 1197–1200. https://doi.org/10.2214/ajr.144.6.1197.
Gibbons RG, Halvorsen RA, Foster WL, Warner D, Roberts L, Postlethwait RW, et al. Esophageal lesions after total laryngectomy. AJR Am J Roentgenol. 1985 Jun;144(6):1197–200.
Gibbons, R. G., et al. “Esophageal lesions after total laryngectomy.AJR Am J Roentgenol, vol. 144, no. 6, June 1985, pp. 1197–200. Pubmed, doi:10.2214/ajr.144.6.1197.
Gibbons RG, Halvorsen RA, Foster WL, Warner D, Roberts L, Postlethwait RW, Thompson WM. Esophageal lesions after total laryngectomy. AJR Am J Roentgenol. 1985 Jun;144(6):1197–1200.

Published In

AJR Am J Roentgenol

DOI

ISSN

0361-803X

Publication Date

June 1985

Volume

144

Issue

6

Start / End Page

1197 / 1200

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Radiography
  • Postoperative Complications
  • Nuclear Medicine & Medical Imaging
  • Neoplasm Recurrence, Local
  • Middle Aged
  • Male
  • Laryngectomy
  • Humans
  • Head and Neck Neoplasms