scholarly journals Videofluoroscopic and manometric outcomes of cricopharyngeus balloon dilation for treatment of pharyngo‐esophageal dysphagia associated with nasopharyngeal cancer: A case series

2021 ◽  
Author(s):  
Raymond Fong ◽  
Anna F. Rumbach ◽  
Elizabeth C. Ward ◽  
Sebastian H. Doeltgen ◽  
Nikie Sun ◽  
...  
Keyword(s):  
Nasopharyngeal Cancer ◽  
Balloon Dilation ◽  
Case Series ◽  
Esophageal Dysphagia

Outcome of Eustachian Tube Balloon Dilation in Children: A Systematic Review

2021 ◽  
pp. 000348942110413
Author(s):  
Jeyasakthy Saniasiaya ◽  
Jeyanthi Kulasegarah ◽  
Prepageran Narayanan
Keyword(s):  
Eustachian Tube ◽  
Systematic Reviews ◽  
Balloon Dilation ◽  
Case Series ◽  
Eustachian Tube Dysfunction ◽  
Common Finding ◽  
Secondary Outcome ◽  
Large Sample Size ◽  
Line Treatment ◽  
Tube Dysfunction

Objective: Eustachian tube dysfunction (ETD) is a chronic entity that has been historically managed with adenoidectomy and ventilation tube insertion. Recently, balloon dilation of the eustachian tube has shown promising results in recalcitrant eustachian tube dysfunction. We reviewed the literature to determine the outcome of eustachian tube balloon dilation in children. Methods: A literature search was conducted for the period from 1990 to 2020 by searching several databases over a 1-month period (January 2021) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook for Systematic Reviews for Interventions. Primary outcome was defined as the success of the intervention determined by the resolution of symptoms, and secondary outcome was determined by revisions surgery and presence of complications. Results: Only 7 articles were identified based on our objectives and selection criteria. All studies included are retrospective cohort case series (Level IV) and 1 cohort of matched controls (Level III). A total of 284 patients were included in this review, with a mean age of 7.8 years. A total of 463 balloon dilation were performed either bilaterally or unilaterally. The most common finding of ETD is middle ear effusion in 5 studies. Balloon dilation of eustachian tube was second-line treatment in 6 studies and first-line treatment in 1 study. Improvement of symptoms was identified in all studies through various assessments performed. Revision surgery was performed in 1 study with no major complications reported. Conclusions: Balloon dilation of the eustachian tube may be considered as an alternative procedure following failed standard treatment in children. The quality of evidence is inadequate to recommend widespread use of the technique until a better-quality study has been completed. Future randomized controlled studies with a large sample size are warranted to determine the efficacy of this procedure amongst children.

Growth and Management of Repaired Complete Tracheal Rings after Slide Tracheoplasty

2019 ◽  
Vol 161 (1) ◽  
pp. 164-170 ◽  
Author(s):  
Lyndy J. Wilcox ◽  
Claudia Schweiger ◽  
Catherine K. Hart ◽  
Alessandro de Alarcon ◽  
Nithin S. Peddireddy ◽  
...  
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Balloon Dilation ◽  
Case Series ◽  
Slide Tracheoplasty ◽  
Time Period ◽  
Academic Medical ◽  
Operative Notes ◽  
Over Time

ObjectiveThis study documents the growth and course of repaired complete tracheal rings over time after slide tracheoplasty.Study DesignCase series with review.SettingTertiary pediatric academic medical center.Subjects/MethodsMedical records of pediatric patients with confirmed tracheal rings on bronchoscopy who underwent slide tracheoplasty between January 2001 and December 2015 were reviewed. Patients who had operative notes documenting tracheal sizing over time were included. Exclusion criteria included tracheal stenosis not caused by complete tracheal rings, surgical repair prior to presentation at our institution, or lack of adequate sizing information. The postoperative follow-up was examined and airway growth over time documented.ResultsOf 197 slide tracheoplasties performed during the study time period, 139 were for complete tracheal rings, and 40 of those children met inclusion criteria. The median age at time of surgery was 7 months, and the median initial airway size was 3.9 mm (n = 34). The median growth postoperatively was 1.9 mm over a median follow-up period of 57 months (0.42 mm/year), which is similar to growth rates of unrepaired complete tracheal rings ( P = .53). Children underwent a median of 10 postoperative endoscopies, with time between endoscopies increasing further out from surgery. The most commonly performed adjunctive procedure was balloon dilation.ConclusionsThis is the first study documenting continued growth of repaired complete tracheal rings after slide tracheoplasty. Postoperative endoscopic surveillance ensures adequate growth. Intervals between airway endoscopies can be increased as the child gets older, as the airway increases in size, and as long as symptoms are minimal.

Oesophageal strictures in cats associated with doxycycline therapy

2005 ◽  
Vol 7 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Alexander James German ◽  
Martha Jane Cannon ◽  
Charlotte Dye ◽  
Malcolm John Booth ◽  
Geoffrey Robert Pearson ◽  
...  
Keyword(s):  
Clinical Sign ◽  
Middle Age ◽  
Balloon Dilation ◽  
Case Series ◽  
Definitive Diagnosis ◽  
Bordetella Bronchiseptica ◽  
Oral Medication ◽  
Post Mortem ◽  
Oesophageal Stricture ◽  
Duration Of Therapy

Four cases of oesophageal stricture subsequent to doxycycline administration are reported. All cases were young to middle age (median age 3 years; range 1–7 years), and either domestic shorthair or domestic longhair breed. In all cases the predominant clinical sign was regurgitation, which developed at variable times after doxycycline administration. In all cases the reason for doxycycline use was treatment or prophylaxis of suspected infections ( Mycoplasma haemofelis, Chlamydophila felis or Bordetella bronchiseptica), and the duration of therapy was variable. In one case the stricture was definitively diagnosed at post mortem examination, in the three other cases, definitive diagnosis was by endoscopy. Balloon dilation was successful in the three cases that were treated. This is the largest case series, to date, of oesophageal disease in cats associated with doxycycline administration. Caution should be exercised when administering oral medication to cats, especially doxycycline, and should be accompanied either by a water or food swallow.

Large-balloon dilation of the biliary orifice for the management of basket impaction: a case series of 6 patients

2011 ◽  
Vol 73 (6) ◽  
pp. 1298-1301 ◽  
Author(s):  
Panagiotis Katsinelos ◽  
Kostas Fasoulas ◽  
Athanasios Beltsis ◽  
Grigoris Chatzimavroudis ◽  
Christos Zavos ◽  
...  
Keyword(s):  
Balloon Dilation ◽  
Case Series ◽  
Large Balloon ◽  
Large Balloon Dilation

Pediatric Sialendoscopy for Recurrent Salivary Gland Swelling: Workup, Findings, and Outcomes

2019 ◽  
Vol 128 (4) ◽  
pp. 338-344 ◽  
Author(s):  
Javan Nation ◽  
Bharat Panuganti ◽  
Alexander Manteghi ◽  
Seth Pransky
Keyword(s):  
Salivary Gland ◽  
Pediatric Population ◽  
Balloon Dilation ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Ct Imaging ◽  
Preoperative Imaging ◽  
Parotid Glands ◽  
First Line ◽  
Submandibular Glands

Introduction: Recurrent salivary gland swelling of the parotid and submandibular glands results in painful swelling in the pediatric population. There is no defined algorithm for workup and treatment of these disorders, resulting in wide heterogeneity and in some cases overuse of computed tomography (CT) imaging. Sialendoscopy (SE) is an interventional option for recurrent swelling of both glands; however, its effectiveness in the pediatric population is still being determined. Objectives: To assess preoperative imaging utilization and benefit in the workup of recurrent pediatric sialadenitis, intraoperative SE findings, and postoperative outcomes after intervention with SE. Methods: Case-series with a 5-year retrospective chart review on children undergoing SE for recurrent sialadenitis. Results: Forty-nine SE procedures were performed on 38 parotid glands (PG) and 11 submandibular glands (SMGs) in 29 children. CT imaging findings were useful for identifying a stone or stricture and guiding surgical management in 45.5% of SMGs versus 2.6% of PGs ( P < .001). A stone was found in 45.5% of SMGs and none in PG ( P < .001). SE intervention such as balloon dilation or stone removal was performed in 54.6% of SMGs and 5.3% of PGs ( P < .001). 74% of parotid patients undergoing SE responded to 1 intervention with a cessation of recurrent gland swelling, while 26% required additional interventions. One hundred percent of SMG patients responded to first intervention. There was no improvement in the beneficial effect of SE with steroid injection ( P = .897) regardless of steroid used ( P = .082). Conclusion: CT findings were found to be low yield for recurrent parotid swelling, and ultrasound is a recommended first-line step for PG pathology. SE is a recommended first-line intervention for SMG and parotid sialadenitis as demonstrated by 100% and 74% response rate to initial SE, respectively.

Endoscopic Ureteral Dilation Balloon Catheter for a Difficult Ureter: A New Novel Approach

2021 ◽  
pp. 1-6
Author(s):  
Jun Li ◽  
Zhongwei Zheng ◽  
Chang Sheng ◽  
Qier Xia
Keyword(s):  
Balloon Catheter ◽  
Balloon Dilation ◽  
Case Series ◽  
Ureteral Stones ◽  
Safety And Efficacy ◽  
Whole Process ◽  
Ureteral Dilation ◽  
Novel Approach ◽  
Stone Treatment ◽  
Prospective Case Series

<b><i>Objectives:</i></b> This study aims to assess the safety and efficacy of INNOVEX<sup>TM</sup> ureteral dilation balloon catheter to promote the likelihood of passing the ureter to complete primary ureteroscopy (URS). <b><i>Methods:</i></b> This was a prospective case series of patients during URS between August 2018 and January 2020 at the Pudong New District People’s Hospital. A 12-Fr INNOVEX<sup>TM</sup> ureteral dilation balloon catheter was used to dilate the ureter when a 5° Wolf 6.0/7.5-Fr ureteroscope encounters an unpredictable hindrance to retrograde access for ureteral stones. Patients with documented ureteral strictures, radiation therapy, or urothelial cancer were excluded from the analysis. The primary outcomes were to characterize the use, safety, and efficacy of ureteral dilation balloon catheter to promote stone treatment during URS. <b><i>Results:</i></b> Eight hundred and sixty-two patients underwent primary URS of ureteral stones over the study period. The use of a ureteral dilation balloon catheter to promote ureteral access was performed in 65 (7.54%) cases and effectively allowed completion of the procedure in 58 (89.23%) cases. No ureteral perforation and access loss occurred during the operation. Seven patients required ureteral stent placement for passive ureteral dilation, with definitive stone treatment later. Postoperative radiographic follow-up was available for 63 (96.92%) cases, and no ureteral stenosis was observed after balloon dilation. <b><i>Conclusion:</i></b> The use of a new ureteral dilation balloon catheter before endoscopic treatment of ureteral stones was associated with a high success rate and few complications. The convenient use method under direct vision at the whole process may increase the willingness of doctors to use it. In addition, it may reduce the need for secondary procedures for patients undergoing URS to manage ureteral stones.

scholarly journals Treatment of Chronic Frontal Sinusitis with Difficult Anatomy: A Hybrid Balloon Technique in Four Cases

2014 ◽  
Vol 5 (3) ◽  
pp. ar.2014.5.0096 ◽  
Author(s):  
Gitanjali M. Fleischman ◽  
Justin D. Miller ◽  
Grace G. Kim ◽  
Adam M. Zanation ◽  
Charles S. Ebert
Keyword(s):  
Frontal Sinus ◽  
Intraoperative Complications ◽  
Postoperative Bleeding ◽  
Balloon Dilation ◽  
Surgical Techniques ◽  
Case Series ◽  
Sinus Surgery ◽  
Tertiary Referral Center ◽  
Type Iv ◽  
Select Group

The presence of frontal cells poses unique challenges when using endoscopic approaches. This study describes the use of a balloon dilation system as an aid for functional endoscopic sinus surgery (FESS) to access the frontal sinus in cases that would traditionally require open approaches. We present a case series of four patients with chronic rhinosinusitis refractive to medical management who underwent FESS with the aid of a balloon dilation system at a tertiary referral center. All patients had variant forms of frontal sinus anatomy. Surgical techniques will be described and use of the balloon system will be reviewed. All patients (aged 13–68 years) successfully underwent fontal sinusotomies with the assistance of a balloon dilation system, which was used in a variety of ways: to dilate the narrow infundibulum of a high intersinus septal cell, to remove an anteriorly located type III frontal sinus cell, to expand the natural frontal ostium in the presence of excessive agger nasi pneumatization, and to remove a type IV frontal sinus cell. All patients were spared an osteoplastic flap or trephination, and there were no intraoperative complications. No postoperative bleeding, infection, or cerebral spinal fluid leaks were reported. Balloon dilation in combination with standard frontal sinus dissection techniques may be beneficial for a select group of patients with complex frontal anatomy. In this series of patients, the balloon dilation system was used as a tool during FESS and eliminated the need for open approaches.

Clinical outcomes of endoscopic submucosal dissection for superficial esophageal neoplasms extending to the cervical esophagus

Endoscopy ◽  
2017 ◽  
Vol 50 (06) ◽  
pp. 613-617 ◽  
Author(s):  
Ryusuke Ariyoshi ◽  
Takashi Toyonaga ◽  
Shinwa Tanaka ◽  
Hirofumi Abe ◽  
Yoshiko Ohara ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Clinical Outcomes ◽  
Esophageal Neoplasms ◽  
Balloon Dilation ◽  
Case Series ◽  
Cervical Esophagus ◽  
En Bloc ◽  
Submucosal Dissection ◽  
Mucosal Defect ◽  
Case Series Study

Abstract Background The feasibility and safety of endoscopic submucosal dissection (ESD) for superficial esophageal neoplasms extending to the cervical esophagus currently remain unknown because of the limited number of cases. We aimed to clarify the clinical outcomes of these cases. Methods This was a case series study conducted at a single institution that enrolled 26 consecutive patients with superficial esophageal neoplasms extending to the cervical esophagus who underwent ESD between July 2003 and December 2015. Results En bloc and complete resection rates were both 100 % and no major intraprocedural complications occurred. Thirteen patients were treated with prophylactic steroid therapy. The incidence of postoperative stricture in patients with a circumferential mucosal defect of more than three-quarters was 72.7 %. Four patients required entire circumferential resection, with perforation occurring after endoscopic balloon dilation (EBD) in two and EBD being required for more than 1 year in the other two. Conclusions ESD including the cervical esophagus is technically feasible. Circumferential resection may cause refractory postoperative stricture or post-EBD perforation, so needs to be avoided where possible.

Outcomes Following Balloon Dilation of Benign Urethral Strictures in Dogs: Eight Cases (2005–2018)

2020 ◽  
Vol 56 (1) ◽  
pp. 23-29
Author(s):  
Taylor Estes Gin ◽  
Patty Secoura ◽  
Tonya Harris ◽  
Shelly Vaden
Keyword(s):  
Urinary Incontinence ◽  
Therapeutic Option ◽  
Balloon Dilation ◽  
Clinical Signs ◽  
Case Series ◽  
Invasive Procedure ◽  
Underlying Disease ◽  
Adverse Outcomes ◽  
Retrospective Case ◽  
Urethral Strictures

ABSTRACT Balloon dilation has been described infrequently as a treatment for benign urethral strictures in dogs but is often a first-line therapeutic option for humans. Additional evidence is needed to evaluate the potential role of this procedure in veterinary medicine. The aim of the study was to describe the techniques used and evaluate the response to balloon dilation of benign urethral strictures in dogs. Medical records were reviewed from eight client-owned dogs who underwent balloon dilation of a benign urethral stricture over a 13 yr period in this retrospective case series. Clinical signs improved for five of eight dogs after a single balloon dilation during a follow-up period of 1 wk to 3 yr. After a second procedure, an additional dog demonstrated improvement for 5.5 yr. Adverse outcomes included urinary incontinence in two dogs and recurrent bacteriuria in four dogs. Findings suggest that balloon dilation is an effective, minimally invasive procedure for the treatment of benign urethral strictures in dogs. Urinary incontinence, urinary tract infection, and stricture recurrence are potential outcomes for dogs undergoing this procedure either as a result of the nature of the underlying disease or as a result of the procedure.

Case Series of Esophageal Lichen Planus: An Uncommon Cause of Esophageal Dysphagia

2017 ◽  
Vol 152 (5) ◽  
pp. S886
Author(s):  
Anupam Somashekar ◽  
Keerthana Kesavarapu ◽  
Neilanjan Nandi
Keyword(s):  
Lichen Planus ◽  
Case Series ◽  
Esophageal Dysphagia
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