The Newsletter presents suggestions how laryngectomees can cope with the COVID-19 pandemic.

The Laryngectomee Newsletter is presented by Itzhak Brook MD. Dr Brook is a physician and a laryngectomee. He is the author of "The Laryngectomee Guide for COVID-19 Pandemic", " The Laryngectomee Guide", " The Laryngectomee Guide Expanded Edition", and " My Voice, a Physician’s Personal Experience with Throat Cancer ".

Dr. Brook is also the creator of the blog " My Voice ". The blog contains information about head and neck cancer, and manuscripts and videos about Dr. Brook's experience as a patient with throat cancer.

Wednesday, April 29, 2020

Neopharyngeal or esophageal narrowing during COVID-19 pandemic


The corona (COVID-19) pandemic presents many challenges for head and neck cancer patients and their medical providers. Because of the reduction or decrease in outpatient services, the availability of neopharyngeal and /or esophageal dilation for esophageal narrowing may not be available.


Enclosed are suggestions how to cope with these challenges:

  • Performing dilation at-home using self-dilation device
  • Considering treatment that resolve the narrowing (i.e., stent, laser treatment)
  • Temporarily altering the diet to soft or liquid one
  • Using a gastric tube for feeding


It is helpful to contact one’s speech and language pathologist and/or physician for guidance. Many institutions perform dilation to those who are unable to consume sufficient calories and liquids.

Hopefully these temporary measures will be helpful.



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