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Article
September 1955

DILATATION OF THE PHARYNGOESOPHAGUS FOLLOWING TOTAL LARYNGECTOMY: Repair with Fascia Lata

Author Affiliations

New York; Wilkes-Barre, Pa.
From the Department of Broncho-Esophagology and Laryngeal Surgery, New York Eye and Ear Infirmary.

AMA Arch Otolaryngol. 1955;62(3):306-307. doi:10.1001/archotol.1955.03830030072012
Abstract

A REVIEW of the medical literature fails to reveal any specific reports of dilatation of the pharyngoesophagus as a complication of total laryngectomy. The condition is not rare, for one frequently encounters postlaryngectomy cases in which a bulging of the lower portion of the neck is seen on swallowing and on exercising esophageal speech. There is also a complaint of a gurgling sound on swallowing and speaking.

While the dilatation of the pharyngoesophagus is relatively common, we had never seen a case that was severe enough to require repair. The patient we are reporting had such a large dilatation that he had difficulty in swallowing, which interfered with his nutrition. He also was unable to master esophageal speech.

It is understandable that dilatation of the pharyngoesophagus occurs frequently following removal of the larynx. To a very great degree, if not completely, the extrinsic support of the pharyngoesophagus is removed by

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