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KMID : 0602820070130010055
Korean Journal of Bronchoesophagology
2007 Volume.13 No. 1 p.55 ~ p.58
Complete laryngopharyngoesophageal stricture due to lye ingestion
Choi Hwan

Baek Seung-Kuk
Kwon Soon-Young
Jung Kwang-Yoon
Kim Kwang-Taik
Abstract
Caustic bums of the upper aerodigestive tract continue to be a significant clinical problem. Wide -field pharyngoesophagectomy is commonly performed as treatment for malignancies of the hypopharynx. A total laryngectomy is often necessary at the time of this procedure because of the anatomical proximity of the cancer or because of the likely compromise of swallowing postoperatively. When preservation of the larynx is attempted, aspirations after surgery frequently require a second-stage laryngectomy. And various flaps are using for reconstruction of esophageal defect. The choice of reconstruction is depended to the patient¡¯s status. A 54-year-old women whose symptom was severe dysphagia and X-ray revealed laryngopharyngeal stricuture. She had attempted suicide by swallowing lye liquids 32 years ago. She has entire laryngopharyngeal and esophageal stricutures. Total laryngectomy was performed and reconstruction of theesophagus was carried out with unusual reversed-gastric tube formation. Hence, we report this case with the review of literaturefor proper management in the future.
KEYWORD
Lye, Laryngopharyngeal Stricuture, Reversed-Gastric tube
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