Balloon dilation therapy for severe postoperative dysphagia after tracheal resection.
Kiminori Aoyama, Satoshi Yokoyama, Shion Wakamatsu et al.
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Case in brief
A man in his late 50s developed severe dysphagia following circumferential tracheal resection, leading to dependence on tube feeding. Despite limited success with compensatory strategies, UES-directed balloon dilation significantly improved his upper esophageal sphincter opening from approximately 3 mm to 10 mm. This intervention facilitated a gradual return to full oral intake, with notable improvements in dysphagia scores.
Diagnostic / clinical pearl
Clinicians should consider UES-directed balloon dilation as a potential intervention for severe dysphagia after complex surgical procedures, especially when traditional compensatory strategies fail.
Why it matters
This case highlights the importance of individualized treatment approaches in managing postoperative dysphagia, particularly when standard evidence-based guidelines may not apply.