{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:58:36Z","timestamp":1790348316501,"version":"4.1.0"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,17]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>Severe dysphagia after tracheal resection may result from reduced hyolaryngeal traction and restricted upper oesophageal sphincter (UES) opening. We report a man in his late 50s who remained dependent on tube-feeding after circumferential tracheal resection with partial resection of the suprahyoid muscle and hyoid bone. Compensatory strategies provided limited benefit. UES-directed balloon dilation, guided and monitored by serial video-fluoroscopic swallowing study and fibreoptic endoscopic evaluation of swallowing, was associated with an immediate increase in UES opening from approximately 3 mm to 10\u2009mm after the first session, followed by gradual progression to full oral intake. The Hyodo score improved from 6 to 3, the Dysphagia Severity Scale from 2 to 6 and the Functional Oral Intake Scale from 3 to 6. This case report may help clinicians consider treatment options in similarly complex cases for which evidence-based guidance may be limited by patient-specific features.<\/jats:p>","DOI":"10.1136\/bcr-2026-274779","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:00:32Z","timestamp":1790344832000},"page":"e274779","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Balloon dilation therapy for severe postoperative dysphagia after tracheal resection"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1574-7679","authenticated-orcid":false,"given":"Kiminori","family":"Aoyama","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Nagoya City University East Medical Center, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Nagoya City University East Medical Center, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shion","family":"Wakamatsu","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Nagoya City University East Medical Center, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7832-7902","authenticated-orcid":false,"given":"Ryohei","family":"Uozumi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Nagoya City University East Medical Center, Nagoya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"2026092507001467000_19.9.e274779.1","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1001\/jamaoto.2023.0588","article-title":"Factors associated with dysphagia in patients undergoing tracheal resection","volume":"149","author":"Lui","year":"2023","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"2026092507001467000_19.9.e274779.2","doi-asserted-by":"crossref","first-page":"5899","DOI":"10.1007\/s00405-024-08904-6","article-title":"Swallowing outcomes after tracheal resection and anastomosis: full versus mini infrahyoid laryngeal drop","volume":"281","author":"ElSobki","year":"2024","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2026092507001467000_19.9.e274779.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9710-1"},{"key":"2026092507001467000_19.9.e274779.4","doi-asserted-by":"publisher","DOI":"10.1007\/s11864-024-01198-0"},{"key":"2026092507001467000_19.9.e274779.5","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110000815"},{"key":"2026092507001467000_19.9.e274779.6","doi-asserted-by":"crossref","first-page":"101598","DOI":"10.1016\/j.bjorl.2025.101598","article-title":"Endoscopic and videofluoroscopic evaluations of swallowing for dysphagia: a systematic review","volume":"91","author":"Ferrari de Castro","year":"2025","journal-title":"Braz J Otorhinolaryngol"},{"key":"2026092507001467000_19.9.e274779.7","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2017-315414"},{"key":"2026092507001467000_19.9.e274779.8","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1177\/0003489419837565","article-title":"Endoscopic management of postradiation dysphagia in head and neck cancer patients: a systematic review","volume":"128","author":"Abu-Ghanem","year":"2019","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2026092507001467000_19.9.e274779.9","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.118442"},{"key":"2026092507001467000_19.9.e274779.10","doi-asserted-by":"crossref","first-page":"183","DOI":"10.4253\/wjge.v9.i4.183","article-title":"Endoscopic balloon catheter dilatation via retrograde or static technique is safe and effective for cricopharyngeal dysfunction","volume":"9","author":"Chandrasekhara","year":"2017","journal-title":"World J Gastrointest Endosc"},{"key":"2026092507001467000_19.9.e274779.11","doi-asserted-by":"crossref","first-page":"122","DOI":"10.5535\/arm.2014.38.1.122","article-title":"Videofluoroscopy-guided balloon dilatation for the opening dysfunction of upper esophageal sphincter by postoperative vagus nerve injury: a report on two cases","volume":"38","author":"Jung","year":"2014","journal-title":"Ann Rehabil Med"},{"key":"2026092507001467000_19.9.e274779.12","doi-asserted-by":"publisher","DOI":"10.1177\/0284185117713351"},{"key":"2026092507001467000_19.9.e274779.13","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1007\/s00455-020-10236-6","article-title":"Outcomes of combined antegrade-retrograde dilations for radiation-induced esophageal strictures in head and neck cancer patients","volume":"36","author":"Liu","year":"2021","journal-title":"Dysphagia"},{"key":"2026092507001467000_19.9.e274779.14","doi-asserted-by":"crossref","first-page":"124","DOI":"10.11336\/jjcrs.6.124","article-title":"Accuracy of Dysphagia Severity Scale rating without using videoendoscopic evaluation of swallowing","volume":"6","author":"Nishimura","year":"2015","journal-title":"JJCRS"},{"key":"2026092507001467000_19.9.e274779.15","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"2026092507001467000_19.9.e274779.16","doi-asserted-by":"crossref","first-page":"670","DOI":"10.3950\/jibiinkoka.113.670","article-title":"New scoring proposed for endoscopic swallowing evaluation and clinical significance","volume":"113","author":"Hyodo","year":"2010","journal-title":"Nihon Jibiinkoka Gakkai Kaiho"},{"key":"2026092507001467000_19.9.e274779.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"key":"2026092507001467000_19.9.e274779.18","doi-asserted-by":"crossref","first-page":"64","DOI":"10.11336\/jjcrs.13.64","article-title":"The Japanese Dysphagia Diet of 2021 by the Japanese Society of Dysphagia Rehabilitation","volume":"13","author":"Kayashita","year":"2022","journal-title":"Jpn J Compr Rehabil Sci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2026-274779","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:00:34Z","timestamp":1790344834000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2026-274779"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,25]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1136\/bcr-2026-274779"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2026-274779","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}