Laser treatment of symptomatic anterior pharyngeal pouches after laryngectomy.

Pennings, R J; van den Hoogen, F J; Marres, H A · Head Neck · 1999

case_series · Level IV

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Abstract

BACKGROUND. An anterior pharyngeal pouch is a common anatomic variation after total laryngectomy. The exact part the pouch has to play in postlaryngectomy swallowing disorders is unknown but might be bigger than expected. Nine patients with a symptomatic pouch were treated with CO2 laser and questioned about pre- and postoperative complaints. Eight out of nine patients noticed an obvious improvement of their swallowing complaints after laser surgery. Based on the results, it is concluded that CO2-laser treatment with division of the bar of tissue posterior to the pouch is seen as a safe and simple way to treat patients for symptoms that can be wrongly attributed to a total laryngectomy.

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