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Updated: Sep 23, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Complication of esophageal self-dilation for radiation-induced hypopharyngeal stenosis
Matthew L Kashima1, David W Eisele
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland 21224, USA.
Abstract:
We present an unusual case of hypopharyngeal stenosis, secondary to radiation therapy for laryngeal squamous cell carcinoma, complicated by repeated inadvertent passage of a Maloney dilator through the larynx into the right mainstem bronchus during self-dilation. A brief review of esophageal/hypopharyngeal stenosis and management alternatives is presented. Self-dilation is presented as a therapeutic method for recurrent stenosis of the hypopharynx and esophagus. Recognition and avoidance of this complication is discussed.
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