Abstract
Abstract This is a video showing ESD performed for recurrent early cervical esophageal squamous cell carcinoma in close proximity to the pharynx. The procedure was completed smoothly with en-bloc resection. However, patient developed vocal cord paralysis requiring temporary tracheostomy. It is postulated that vocal cord paralysis was caused by posterior cricoarytenoid muscle injury. This important muscle is the only laryngeal muscle that opens the vocal folds, and will lead to potential airway compromise if injured. There hasn’t been any report of vocal cord paralysis after cervical esophageal ESD, and this case illustrates that this potentially lethal complication should not be overlooked.
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