{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T22:22:00Z","timestamp":1768083720783,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T00:00:00Z","timestamp":1731024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>An increasing number of laryngeal and esophageal procedures are being performed as \u201cawake\u201d procedures (non\u2010general anesthesia), with some under local anesthesia, including in clinic. While high tolerance and safety profiles have been reported for various laryngeal procedures, few studies directly assess tolerability of awake dilation procedures of the upper esophagus (UE) and laryngotracheal airway (LTA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, open\u2010label.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospectively collected patient and physician surveys from a tertiary laryngology center recorded patient tolerance, safety, and perceptions of awake UE and LTA balloon dilation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010six awake procedures were performed on 41 patients, including 46 UE and 20 LTA dilations. All procedures were successfully completed. Overall pain was mild (3.5\u2009\u00b1\u20092.4\/10, ranging 0\u2009=\u2009no pain to10\u2009=\u2009worst pain) and the dilation itself was reportedly the most painful portion (4.1\u2009\u00b1\u20092.9\/10). Patient satisfaction with the procedure was high (7.0\u2009\u00b1\u20092.2\/10, ranging 0\u2009=\u2009worst to 10\u2009=\u2009best experience). Most patients would undergo the procedure again (73.6%) and would recommend the procedure to others (89.3%). Patient\u2010reported tolerance was similar immediately postoperatively and at follow\u2010up. LTA and UE dilation patients reported similar levels of tolerance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Awake upper esophageal balloon dilation is a safe, well\u2010tolerated procedure with high completion and patient satisfaction rates. Similarly, early experience with awake laryngotracheal airway balloon dilation suggests comparable favorability, although careful consideration of patient selection and procedural implementation is strongly recommended to optimize and protect patient safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>3 <jats:italic>Laryngoscope<\/jats:italic>, 135:1343\u20131351, 2025<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31853","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T11:29:26Z","timestamp":1731065366000},"page":"1343-1351","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prospective Assessment of Safety, Tolerance, and Perceptions of Awake Airway and Esophageal Dilation"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3095-8290","authenticated-orcid":false,"given":"VyVy N.","family":"Young","sequence":"first","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California San Francisco  San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle M.","family":"Gillard","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery University of California San Francisco  San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"Truong","sequence":"additional","affiliation":[{"name":"School of Medicine University of California San Francisco  San Francisco California U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James J.","family":"Lappin","sequence":"additional","affiliation":[{"name":"UCSF Voice &amp; Swallowing Center, Department of Otolaryngology\u2010Head and Neck Surgery 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