Peroral endoscopic tumor resection of recurrent hypopharyngeal fibrovascular polyp

Q3 Medicine

VideoGIE Pub Date : 2025-10-01 DOI:10.1016/j.vgie.2025.06.003

Yohei Nishikawa MD, PhD , Koji Otsuka MD, PhD , Kei Ushikubo MD , Kazuki Yamamoto MD, PhD , Ippei Tanaka MD , Mayo Tanabe MD, PhD , Takashi Suzuki MD, PhD , Haruhiro Inoue MD, PhD

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引用次数: 0

Abstract

Background and Aims

Fibrovascular polyps (FVPs) are rare benign submucosal tumors of the pharynx and cervical esophagus that can cause dysphagia and airway obstruction. We report the successful endoscopic resection of a recurrent FVP in the hypopharynx using peroral endoscopic tumor resection techniques in combination with pharyngeal endoscopic treatment strategies. A 56-year-old woman presented with a recurrent FVP in the right arytenoid region after an incomplete resection. Because of tumor growth and worsening dysphagia, we opted to perform the endoscopic resection after thorough evaluation.

Methods

The procedure was performed with the patient under general anesthesia. Intra- and postoperative airway management was secured with temporary percutaneous cricothyrotomy. Laryngeal expansion was performed with a curved rigid laryngoscope to enhance visualization. Endoscopic resection was performed with a minimal mucosal incision, followed by enucleation of the tumor, and closure of the mucosa. En bloc enucleation of the tumor was achieved without damaging its surface using string-clip traction.

Results

The patient was discharged on postoperative day 6 without adverse events. Pathologic examination confirmed complete resection of the FVP.

Conclusions

Endoscopic resection using combined peroral endoscopic tumor resection techniques and pharyngeal endoscopic treatment strategies offers a safe and minimally invasive treatment option for hypopharyngeal FVPs.

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经口内镜下复发性下咽纤维血管息肉切除术

背景和目的纤维血管息肉（FVPs）是一种罕见的咽部和颈部食管粘膜下良性肿瘤，可引起吞咽困难和气道阻塞。我们报告使用经口内镜肿瘤切除术技术结合咽内镜治疗策略成功切除下咽复发性FVP。一个56岁的妇女提出了复发性FVP在右杓状骨区域后不完全切除。由于肿瘤的生长和吞咽困难的恶化，我们选择在彻底评估后进行内镜切除。方法手术在全身麻醉下进行。临时经皮环甲环切开术确保了手术内和术后气道管理。用弯曲的刚性喉镜进行喉部扩张以增强视觉效果。内镜切除以最小的粘膜切口进行，随后切除肿瘤，并关闭粘膜。使用线夹牵引在不损伤肿瘤表面的情况下实现了肿瘤的整体去核。结果患者于术后第6天出院，无不良事件发生。病理检查证实FVP完全切除。结论经口内镜肿瘤切除技术与咽内镜治疗策略相结合的内镜下手术治疗下咽fvp是一种安全、微创的治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.