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Congenital pharyngeal webs: Treatment of a rare clinical entity by endoscopic CO 2 laser approach


Morand, Grégoire B; Lambercy, Karma; Guilcher, Pierre; Sandu, Kishore B (2017). Congenital pharyngeal webs: Treatment of a rare clinical entity by endoscopic CO 2 laser approach. International Journal of Pediatric Otorhinolaryngology, 102:123-126.

Abstract

IMPORTANCE: Oesophageal inlet stenosis can promote dysphagia and aspiration. We report the cases of syndromic children with congenital pharyngeal webs successfully treated with endoscopic CO2 laser.
OBSERVATIONS: Pharyngeal webs were excised with CO2 laser (Ultrapulse mode) and resurfaced using mucosal advancement flaps to avoid restenosis and/or formation of secondary synechia. This led to a significant enlargement of the oesophageal inlet, which was documented immediately postoperatively and the clinical improvement of dysphagia and decreased aspiration persisted at distant follow-up.
CONCLUSION AND RELEVANCE: Pharyngeal webs are congenital anomalies that can be safely and effectively corrected with endoscopic treatment.

Abstract

IMPORTANCE: Oesophageal inlet stenosis can promote dysphagia and aspiration. We report the cases of syndromic children with congenital pharyngeal webs successfully treated with endoscopic CO2 laser.
OBSERVATIONS: Pharyngeal webs were excised with CO2 laser (Ultrapulse mode) and resurfaced using mucosal advancement flaps to avoid restenosis and/or formation of secondary synechia. This led to a significant enlargement of the oesophageal inlet, which was documented immediately postoperatively and the clinical improvement of dysphagia and decreased aspiration persisted at distant follow-up.
CONCLUSION AND RELEVANCE: Pharyngeal webs are congenital anomalies that can be safely and effectively corrected with endoscopic treatment.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Otorhinolaryngology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:3 August 2017
Deposited On:07 Feb 2018 20:18
Last Modified:19 Feb 2018 10:53
Publisher:Elsevier
ISSN:0165-5876
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.ijporl.2017.08.001
PubMed ID:29106858

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