{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:29:21Z","timestamp":1786969761228,"version":"build-2736575974"},"reference-count":5,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Oropharyngeal stenosis is a rare condition that can develop following head and neck cancer treatment, leading to progressive dyspnea, dysphagia, and dysphonia. Patients with symptomatic dyspnea may benefit from endoscopic surgery. However, head and neck cancer survivors can have severe trismus, limited neck extension, and altered laryngeal landmarks, which make rigid endoscopic surgery under general anesthesia high\u2010risk or potentially not feasible without a tracheostomy tube. We describe an awake approach for the management of oropharyngeal stenosis for 2 head and neck cancer survivors with high\u2010risk airways. Briefly, under monitored anesthesia care in the operating room, a flexible channeled nasolaryngoscope was utilized to perform awake blue light laser excision of stenosis followed by balloon dilation. Postoperatively, both patients reported symptomatic improvement, and objective increases in airway patency were noted at clinic follow\u2010up. This operative technique represents a feasible, well\u2010tolerated approach for high\u2010risk airway patients with oropharyngeal stenosis.<\/jats:p>","DOI":"10.1002\/ohn.70363","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:16:19Z","timestamp":1786968979000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Awake Blue Laser Excision and Balloon Dilation of Oropharyngeal Stenosis in High\u2010Risk Patients"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8779-4402","authenticated-orcid":false,"given":"Abbey L.","family":"Landini","sequence":"first","affiliation":[{"name":"Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6359-5393","authenticated-orcid":false,"given":"Cyrus W.","family":"Abrahamson","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2551-1064","authenticated-orcid":false,"given":"Andrew P.","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"issue":"9","key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1097\/01.mlg.0000228006.21941.12","article-title":"Modern management of laryngotracheal stenosis","volume":"116","author":"Herrington HC","year":"2006","journal-title":"Laryngoscope"},{"issue":"9","key":"e_1_2_7_3_1","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1016\/j.ijporl.2015.06.022","article-title":"Palatopharyngoplasty with bilateral buccal mucosal graft repair to alleviate oropharyngeal stenosis","volume":"79","author":"Tompkins JJ","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"3","key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.anclin.2010.07.013","article-title":"Anesthetic considerations and surgical caveats for awake airway surgery","volume":"28","author":"Atkins JH","year":"2010","journal-title":"Anesthesiol Clin"},{"key":"e_1_2_7_5_1","first-page":"803","article-title":"Outcomes in awake laser laryngeal stenosis surgery (ALLSS): a 5\u2010year retrospective review","volume":"2","author":"D'Oto AD","year":"2025","journal-title":"Laryngoscope"},{"issue":"5","key":"e_1_2_7_6_1","first-page":"E1633","article-title":"Awake laser laryngeal stenosis surgery","volume":"131","author":"Jiam NT","year":"2021","journal-title":"Laryngoscope"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70363","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.70363","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70363","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:16:20Z","timestamp":1786968980000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":5,"alternative-id":["10.1002\/ohn.70363"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70363","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"assertion":[{"value":"2026-03-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ohn.70363"}}