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Endoscopic Management of a Hypopharyngeal-Subglottic Fistula: Case Series and Literature Review.

ABSTRACT: A rare complication of prolonged intubation or laryngeal radiation is destruction of the posterior cricoid cartilage with resultant hypopharyngeal-subglottic fistula leading to aspiration and inability to consume a regular diet. We describe a step-by-step endoscopic approach to the closure of a hypopharyngeal-subglottic fistula. This technique successfully closed the fistula in two patients and allowed the safe resumption of an oral diet.

SUBMITTER: Kessler L 

PROVIDER: S-EPMC12645367 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature

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Endoscopic Management of a Hypopharyngeal-Subglottic Fistula: Case Series and Literature Review.

Kessler Lexie L   Jaamour Dania D   Lakpa Koffi L KL   Bowen Andrew A   Francis David O DO   Stein Andrew P AP  

The Laryngoscope 20250605 11

A rare complication of prolonged intubation or laryngeal radiation is destruction of the posterior cricoid cartilage with resultant hypopharyngeal-subglottic fistula leading to aspiration and inability to consume a regular diet. We describe a step-by-step endoscopic approach to the closure of a hypopharyngeal-subglottic fistula. This technique successfully closed the fistula in two patients and allowed the safe resumption of an oral diet. ...[more]

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