Upper esophageal web

December 1, 2007     Catherine J. Rees, MD and Peter C. Belafsky, MD, PhD

Giant fibrovascular polyp of the esophagus

September 30, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD

A 56-year-old man was referred to the Center for Voice and Swallowing for management of a large upper esophageal mass. He complained of intermittent regurgitation of the mass and associated dyspnea.

Patulous lower esophageal sphincter

July 31, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD

A 46-year-old man presented to the Center for Voice and Swallowing with symptoms of globus, pyrosis, and solid-food dysphagia. Findings on transnasal esophagoscopy were normal except for the presence of a widely patulous lower esophageal sphincter (LES) .

Distal esophageal spasm

May 31, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD

Irreversible hydrocolloid: An unusual presentation of esophageal obstruction

March 1, 2007     Sihun Alex Kim, MD; Robert J. Meleca, MD

Chronic esophageal stricture with Barrett's esophagus

February 1, 2007     Catherine J. Rees, MD; Peter C. Belafsky, MD, PhD

Severe distal esophageal stricture

September 30, 2006     Sheldon R. Brown, MD

Perforating and migrating pharyngoesophageal foreign bodies: A series of 5 patients

August 31, 2006     Khalid Al-Sebeih, MD, FRCSC; Miloslav Valvoda, MD; Amro Sobeih, MD; Mutlaq Al-Sihan, MD
Ingestion of a foreign body is a problem seen in nearly all otolaryngologic practices. One of the least common complications of foreign-body ingestion is penetration and migration, which may lead to serious morbidity or even death. We report the findings of a retrospective review of a series of 5 patients who had presented with a complete foreign-body penetration. All of them had radiologic evidence of a foreign body, but findings on rigid endoscopy were negative. Computed tomography is the radiologic study of choice to identify penetrating foreign bodies. The foreign bodies in all 5 patients were extracted via an external approach.

Double swallow

July 31, 2006     Gregory N. Postma, MD; Lori M. Burkhead, PhD, CCC-SLP; William H. Moretz III, MD

A french-fried foreign body

May 31, 2006     Peter C. Belafsky, MD, PhD

Barium esophagogram of a Zenker's diverticulopexy

April 1, 2006     Christopher Y. Chang, MD; Richard L. Scher, MD

Outcomes of primary and secondary tracheoesophageal puncture: A 16-year retrospective analysis

April 1, 2006     Elaine Cheng, MD; Margie Ho, MA; Cindy Ganz, MS; Ashok Shaha, MD; Jay O. Boyle, MD; Bhuvanesh Singh, MD; Richrd J. Wong, MD; Snehal Patel, MD; Jatin Shah, MD; Ryan C. Branski, PhD; Dennis H. Kraus, MD
The current study retrospectively reviewed the cases of 68 patients who had undergone total laryngectomy and tracheoesophageal puncture (TEP) over a 16-year period. Fifty-one patients underwent primary TEP and 17 underwent secondary TEP. Nearly 80% of patients who received TEP at the time of laryngectomy achieved excellent voice quality perceptually. In contrast, only 50% of secondary TEP patients achieved excellent voice ratings. This difference was statistically robust (p = 0.03). Although both surgical and prosthesis-related complications occurred more frequently following primary TEP, statistically significant differences were not achieved. Neither pre- nor postoperative radiotherapy had any effect on voice restoration or complication rates. Based on these data, primary TEP may be preferable for several reasons, including a greater likelihood of successful voice restoration, a shorter duration of postoperative aphonia, and the elimination of the need for a second operation and interim tube feedings.
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