Radiation-Related Hypopharynx-Stenosis with Spared Larynx Treated by a Novel-Shaped Silicone Stent

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Very Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Very Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments: The Discussion establishes that the case report introduces for the first time a novel stent for the treatment of hypopharyngeal stenosis in a patient with a spared larynx and it is noteworthy that the stent was tolerated and did not dislocate over a long period of time. It illustrates the major problems in long-term stenting of post-cricoid stenosis in a spared larynx. The study concludes that the novel shape of the presented stent is the reason for it to be tolerated for a long time in patients with spared larynx and hypopharyngeal stenosis.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Comments: Except the following error has been detected:

1.     In the 2^nd sentence under the subheading Introduction the word “laryngectomized” has been misspelled.

Further comments on the paper

Comments: The case report presents the first case of using a novel customized silicone stent to treat a male patient with a stenosis of the hypopharynx and preserved larynx. It illustrates that the major problems in long-term stenting of post-cricoid stenosis in a spared larynx are the risk of dislocation and the low tolerability of the stent. However, in this reported case, the novel customized stent was tolerated well and did not dislocate over a long period of time. The study concludes that the novel shape of the stent may be the reason for it to be tolerated for a long time in patients with spared larynx and hypopharyngeal stenosis. Also, the application for several weeks probably prevents the formation of recurrent stenoses and supports the reorganization of the mucosal layer of the hypopharynx. Future studies are needed to obtain detailed data on the dimensions of the hypopharynx to standardize the size of the novel-shaped stent.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

If you have any questions and clarifications you can write to the journal.

Thanks,
Science Repository Team