PHARYNGEAL STRICTURE AFTER HEAD AND NECK RECONSTRUCTION
University of Florida College of Medicine
Krishna S. Hanubal
Peter T. Dziegielewski
Stricture formation is a serious complication following pharyngeal reconstruction. These strictures can be life-threatening and can severely impact quality of life. We have reviewed the existing literature on surgical risk factors linked to neopharyngeal stricture formation. Intraoperative preventative measures reconstructive surgeons should consider are also discussed. Finally, we will describe the evaluation and management of pharyngoesophageal strictures, including the challenges and options when dealing with refractory strictures.
Pharyngeal stricture formation is multifactorial and can be challenging obstacle for patients following pharyngeal reconstruction.
Closure technique, flap choice, use of salivary bypass tubes, and pharyngocutaneous fistula formation have all may play a role in stricture.
In the event where stricture does occur, reconstructive surgeons should be aware of steps to evaluate and understand the appropriate tools to treat these strictures.