A postoperative case of oral cancer in which widening of the esophageal entrance with a balloon catheter enabled oral intake

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  • MATSUNAGA Kazuhide
    Department of Plastic and Reconstructive Surgery, Kinki University School of Medicine Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • NAKAMURA Norifumi
    Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Graduate School of Medical and Dental Sciences, Kagoshima University
  • OOBU Kazunari
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • MITSUYASU Takeshi
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • KAWANO Shintaro
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University
  • NAKAMURA Seiji
    Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University

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Other Title
  • 術後にバルーンカテーテルを用いた食道入口部拡張訓練により経口摂取が可能となった口腔癌の１例
  • ショウレイ ホウコク ジュツゴ ニ バルーンカテーテル オ モチイタ ショクドウ ニュウコウブ カクチョウ クンレン ニ ヨリ ケイコウ セッシュ ガ カノウ ト ナッタ コウクウガン ノ 1レイ

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Abstract

In a patient with aspiration after the resection of oral cancer and reconstruction, we conducted swallowing rehabilitation by the balloon method to widen the esophageal entrance. The volume of air in the balloon catheter was gradually increased from 2 to 8 ml over the course of 10 days. Aspiration resolved with widening of the esophageal entrance, and oral intake became possible. The degree of maximal widening of the esophageal entrance during swallowing was examined with an image analysis system. After rehabilitation the degree of maximal widening of the esophageal entrance during swallowing increased by approximately 2 fold as compeared with before rehabilitation. Widening of the esophageal entrance during swallowing was maintained for 6 months postoperatively.<BR>These results suggested that the balloon method was useful for widening the esophageal entrance.

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