Congenital pharyngeal webs: Treatment of a rare clinical entity by endoscopic CO2 laser approach.

Congenital pharyngeal webs: Treatment of a rare clinical entity by endoscopic CO2 laser approach.

Int J Pediatr Otorhinolaryngol. 2017 Nov;102:123-126

Authors: Morand GB, Lambercy K, Guilcher P, Sandu KB

Abstract
IMPORTANCE: Oesophageal inlet stenosis can promote dysphagia and aspiration. We report the cases of syndromic children with congenital pharyngeal webs successfully treated with endoscopic CO2 laser.
OBSERVATIONS: Pharyngeal webs were excised with CO2 laser (Ultrapulse mode) and resurfaced using mucosal advancement flaps to avoid restenosis and/or formation of secondary synechia. This led to a significant enlargement of the oesophageal inlet, which was documented immediately postoperatively and the clinical improvement of dysphagia and decreased aspiration persisted at distant follow-up.
CONCLUSION AND RELEVANCE: Pharyngeal webs are congenital anomalies that can be safely and effectively corrected with endoscopic treatment.

PMID: 29106858 [PubMed - in process]

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