Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection
Aims. In order to determine the indications of transoral surgery for a tumor located at the pharyngoesophageal junction, the trumpet maneuver with transnasal endoscopy was used. Its efficacy is reported here. Material and Methods. An 88-year-old woman complaining of dysphagia, diagnosed with cervica...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2017/1341059 |
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| author | Kenro Kawada Tatsuyuki Kawano Taro Sugimoto Kazuya Yamaguchi Yuudai Kawamura Toshihiro Matsui Masafumi Okuda Taichi Ogo Yuuichiro Kume Yutaka Nakajima Andres Mora Takuya Okada Akihiro Hoshino Yutaka Tokairin Yasuaki Nakajima Ryuhei Okada Yusuke Kiyokawa Fuminori Nomura Takahiro Asakage Ryo Shimoda Takashi Ito |
| author_facet | Kenro Kawada Tatsuyuki Kawano Taro Sugimoto Kazuya Yamaguchi Yuudai Kawamura Toshihiro Matsui Masafumi Okuda Taichi Ogo Yuuichiro Kume Yutaka Nakajima Andres Mora Takuya Okada Akihiro Hoshino Yutaka Tokairin Yasuaki Nakajima Ryuhei Okada Yusuke Kiyokawa Fuminori Nomura Takahiro Asakage Ryo Shimoda Takashi Ito |
| author_sort | Kenro Kawada |
| collection | DOAJ |
| description | Aims. In order to determine the indications of transoral surgery for a tumor located at the pharyngoesophageal junction, the trumpet maneuver with transnasal endoscopy was used. Its efficacy is reported here. Material and Methods. An 88-year-old woman complaining of dysphagia, diagnosed with cervical esophageal cancer, and hoping to preserve her voice and swallowing function was admitted to our hospital. Conventional endoscopy showed that the tumor had invaded the hypopharynx. When inspecting the hypopharynx and the orifice of the esophagus, we asked the patient to blow hard and puff her cheeks with her mouth closed (trumpet maneuver). After the trumpet maneuver, the pharyngeal mucosa was stretched out. The pedicle of the tumor arose from the left-anterior wall of the pharyngoesophageal junction, so we decided to perform endoscopic resection. Result. Under general anesthesia, the curved laryngoscope made it possible to view the whole hypopharynx, including the apex of the piriform sinus and the orifice of the esophagus. The cervical esophageal cancer was pulled up to the hypopharynx. Under collaboration between a head and neck surgeon and an endoscopist, the tumor was resected en bloc by endoscopic laryngopharyngeal surgery combined with endoscopic submucosal dissection. Conclusion. Transnasal endoscopy using the trumpet maneuver is useful for a precise diagnosis of the pharyngoesophageal junction. Close collaboration between head and neck surgeons and endoscopists can provide good results in treating tumors of the pharyngoesophageal junction. |
| format | Article |
| id | doaj-art-bbae2daa0002416fb05da3006f30a881 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-bbae2daa0002416fb05da3006f30a8812025-02-03T01:27:28ZengWileyCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/13410591341059Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal DissectionKenro Kawada0Tatsuyuki Kawano1Taro Sugimoto2Kazuya Yamaguchi3Yuudai Kawamura4Toshihiro Matsui5Masafumi Okuda6Taichi Ogo7Yuuichiro Kume8Yutaka Nakajima9Andres Mora10Takuya Okada11Akihiro Hoshino12Yutaka Tokairin13Yasuaki Nakajima14Ryuhei Okada15Yusuke Kiyokawa16Fuminori Nomura17Takahiro Asakage18Ryo Shimoda19Takashi Ito20Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Otorhinolaryngology, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Head and Neck Surgery, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Internal Medicine and Gastrointestinal Endoscopy, Saga Medical School, Saga, JapanDepartment of Human Pathology, Tokyo Medical and Dental University, Tokyo, JapanAims. In order to determine the indications of transoral surgery for a tumor located at the pharyngoesophageal junction, the trumpet maneuver with transnasal endoscopy was used. Its efficacy is reported here. Material and Methods. An 88-year-old woman complaining of dysphagia, diagnosed with cervical esophageal cancer, and hoping to preserve her voice and swallowing function was admitted to our hospital. Conventional endoscopy showed that the tumor had invaded the hypopharynx. When inspecting the hypopharynx and the orifice of the esophagus, we asked the patient to blow hard and puff her cheeks with her mouth closed (trumpet maneuver). After the trumpet maneuver, the pharyngeal mucosa was stretched out. The pedicle of the tumor arose from the left-anterior wall of the pharyngoesophageal junction, so we decided to perform endoscopic resection. Result. Under general anesthesia, the curved laryngoscope made it possible to view the whole hypopharynx, including the apex of the piriform sinus and the orifice of the esophagus. The cervical esophageal cancer was pulled up to the hypopharynx. Under collaboration between a head and neck surgeon and an endoscopist, the tumor was resected en bloc by endoscopic laryngopharyngeal surgery combined with endoscopic submucosal dissection. Conclusion. Transnasal endoscopy using the trumpet maneuver is useful for a precise diagnosis of the pharyngoesophageal junction. Close collaboration between head and neck surgeons and endoscopists can provide good results in treating tumors of the pharyngoesophageal junction.http://dx.doi.org/10.1155/2017/1341059 |
| spellingShingle | Kenro Kawada Tatsuyuki Kawano Taro Sugimoto Kazuya Yamaguchi Yuudai Kawamura Toshihiro Matsui Masafumi Okuda Taichi Ogo Yuuichiro Kume Yutaka Nakajima Andres Mora Takuya Okada Akihiro Hoshino Yutaka Tokairin Yasuaki Nakajima Ryuhei Okada Yusuke Kiyokawa Fuminori Nomura Takahiro Asakage Ryo Shimoda Takashi Ito Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection Case Reports in Otolaryngology |
| title | Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection |
| title_full | Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection |
| title_fullStr | Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection |
| title_full_unstemmed | Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection |
| title_short | Case of Superficial Cancer Located at the Pharyngoesophageal Junction Which Was Dissected by Endoscopic Laryngopharyngeal Surgery Combined with Endoscopic Submucosal Dissection |
| title_sort | case of superficial cancer located at the pharyngoesophageal junction which was dissected by endoscopic laryngopharyngeal surgery combined with endoscopic submucosal dissection |
| url | http://dx.doi.org/10.1155/2017/1341059 |
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