Indications for Cricopharyngeal Myotomy

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منابع مشابه

Indications and outcomes of endoscopic CO2 laser cricopharyngeal myotomy.

OBJECTIVES/HYPOTHESIS To describe indications, management, and outcomes of endoscopic CO2 laser cricopharyngeal myotomy (CPM). STUDY DESIGN Case series with chart review. METHODS All patients treated with endoscopic CO2 laser CPM over a 6-year period were identified. A retrospective chart review was performed for surgical indication, history and physical examinations, and swallow evaluation...

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Cricopharyngeal myotomy in neurogenic oropharyngeal dysphagia.

OBJECTIVE Cricopharyngeal myotomy as an independent procedure has been performed on fourteen patients with a variety of neuromuscular disorders, suffering from neurogenic oropharyngeal dysphagia in the interval between 1994-1997. All of them were referred from a neurophysician or physiatrist after failure of improvement by medical treatment. METHODS The selection of patients for operation was...

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Endoscopic cricopharyngeal myotomy for management of cricopharyngeal achalasia (CA) in an 18-month-old child.

A 6-month-old patient presented with dysphagia and failure to thrive. Video fluoroscopic swallow study (VFSS), esophagogastroduodenoscopy, and manometry were diagnostic for CA. A gastrostomy tube was placed at 8 months. Botulinum toxin injection improved symptoms, but within 10 weeks symptoms returned. At 18 months, an uncomplicated endoscopic CPM was performed. A postoperative VFSS demonstrate...

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Treatment of oropharyngeal dysphagia secondary to idiopathic cricopharyngeal bar: Surgical cricopharyngeal muscle myotomy versus dilation.

OBJECTIVE To compare swallowing outcomes following cricopharyngeal (CP) dilation versus surgical myotomy in patients with dysphagia secondary to idiopathic CP bar. METHODS All patients had an idiopathic CP bar without a history of Zenker's diverticulum, head and neck cancer, or systemic neurologic disease treated between 2000 and 2013. The Functional Outcome Swallowing Scale (FOSS) was utiliz...

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Open vs. endoscopic cricopharyngeal myotomy; Is there a difference?

INTRODUCTION The upper esophageal sphincter (UES) is composed largely of the cricopharyngeus muscle (CP) and acts as the gatekeeper to the esophagus. There are multiple methods of treating UES dysfunction, but myotomy has been shown to be the most definitive means. We aim to evaluate the difference between open and endoscopic CP myotomy (CPM). METHODS A retrospective review of all patients un...

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ژورنال

عنوان ژورنال: Koutou (THE LARYNX JAPAN)

سال: 1996

ISSN: 0915-6127

DOI: 10.5426/larynx1989.8.1_33