{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:29:53Z","timestamp":1787869793270,"version":"build-2784847793"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:00:00Z","timestamp":1768003200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76 AG079040"],"award-info":[{"award-number":["K76 AG079040"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100015326","name":"Common Fund","doi-asserted-by":"publisher","award":["OT2 OD032720"],"award-info":[{"award-number":["OT2 OD032720"]}],"id":[{"id":"10.13039\/100015326","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To review experience with and describe the feasibility of unsedated in\u2010office transnasal double balloon dilations of the pharyngoesophageal segment (PES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults who underwent office\u2010based transnasal double balloon dilations of the PES at a single academic institution over a 3\u2010year period were retrospectively studied. Clinicodemographic data, prior PES dilation history, procedural indications, pre\u2010procedure anxiolytic usage, procedural data including the number of office\u2010based double balloon dilation procedures performed and dilation diameter, complications, and subjective outcomes at 2\u2009weeks post\u2010dilation were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nineteen office\u2010based double balloon dilations to 24\u2009mm (12\u2009+\u200912\u2010mm balloons) were performed in seven patients (mean age: 65.3\u2009years, 57.1% female). Indications for dilation were varied. Two (28.6%) patients had a history of oropharyngeal cancer treated with radiation therapy. No patients were post\u2010laryngectomy. The majority (85.7%) of patients underwent at least one prior in\u2010office transnasal single balloon dilation. Two (28.6%) patients required a pre\u2010procedure anxiolytic. One complication occurred involving post\u2010procedure epistaxis that resolved with topical oxymetazoline application. No esophageal lacerations or perforations were encountered. No procedures required early termination due to poor patient tolerance. The majority (71.4%) of patients reported subjective improvement in dysphagia symptoms at 2\u2010week follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Double balloon dilation of the PES is feasible in unsedated patients in the office setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70362","type":"journal-article","created":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T10:08:52Z","timestamp":1768039732000},"page":"2107-2112","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility of Awake In\u2010Office Transnasal Double Balloon Dilation of the Pharyngoesophageal Segment"],"prefix":"10.1002","volume":"136","author":[{"given":"Christine M.","family":"Clark","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery Sean Parker Institute for the Voice, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4983-3666","authenticated-orcid":false,"given":"Can","family":"Doruk","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery Sean Parker Institute for the Voice, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8323-7068","authenticated-orcid":false,"given":"Valentina","family":"Mocchetti","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery Sean Parker Institute for the Voice, Weill Cornell Medical College  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1543-2634","authenticated-orcid":false,"given":"Ana\u00efs","family":"Rameau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; 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