Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 1: Endoscopic Therapy Foran Esophageal Dissection (continued)

Jonathan Buscaglia, MD

A 69-year-old man presented to the otolaryngology clinic complaining of dysphagia. He was diagnosed with T3N2bM0 squamous cell carcinoma of the hypopharynx 1 year prior. Direct laryngoscopy at that time demonstrated an extensive mass involving the right hypopharynx. Treatment consisted of induction chemotherapy followed by combined chemoradiation therapy. His course was complicated by hypopharyngeal stenosis resulting in dysphagia. This was initially managed successfully with a Maloney 60-French bougie dilator. Five months later, the patient presented to the otolaryngology clinic with…