Cervical oesophagostomy in patients with severe dysphagia following radiotherapy for nasopharyngeal carcinoma
Autor: | Zhu Zf, Wang Yj, He Fy, Zeng Y, Zhang Jl, Tang Sc, Yang F, Chen Wx |
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Rok vydání: | 2014 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Nasopharyngeal neoplasm Severe dysphagia medicine Carcinoma Humans Aged Retrospective Studies Nasopharyngeal Carcinoma business.industry Nasopharyngeal Neoplasms Retrospective cohort study General Medicine Middle Aged medicine.disease Dysphagia Surgery Radiation therapy Treatment Outcome Otorhinolaryngology Cervical oesophagostomy Nasopharyngeal carcinoma medicine.symptom Deglutition Disorders Esophagostomy business |
Zdroj: | The Journal of Laryngology & Otology. 128:142-146 |
ISSN: | 1748-5460 0022-2151 |
Popis: | 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. |
Databáze: | OpenAIRE |
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