Cricopharyngeal muscle origin transection for oropharyngeal dysphagia, a novel surgical technique.
Cricopharyngeal dysphagia
Cricopharyngeal muscle origin transection
Cricopharyngeal myotomy
Recurrent laryngeal nerve injury
Surgery
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
14
04
2022
accepted:
03
08
2022
pubmed:
13
8
2022
medline:
7
1
2023
entrez:
12
8
2022
Statut:
ppublish
Résumé
Cricopharyngeal myotomy improves pharyngeal dysphagia by resecting the cricopharyngeal muscle. Our procedure, cricopharyngeal muscle origin transection (CPM-OT) is performed through a midline skin incision at the cricoid cartilage level under local anesthesia. Sixteen patients demonstrated preservation of vocal fold movement without laryngeal nerve injury immediately after CPM-OT in the awake state during aspiration prevention surgery using the glottic closure technique. Postoperative videofluoroscopic examination of swallowing revealed the cricopharyngeal bar was absent and pharyngeal passage of the bolus and Food Intake LEVEL Scale was improved in all patients. CPM-OT is a feasible and less invasive treatment option.
Sections du résumé
BACKGROUND
BACKGROUND
Cricopharyngeal myotomy improves pharyngeal dysphagia by resecting the cricopharyngeal muscle.
METHODS
METHODS
Our procedure, cricopharyngeal muscle origin transection (CPM-OT) is performed through a midline skin incision at the cricoid cartilage level under local anesthesia.
CONCLUSIONS
CONCLUSIONS
Sixteen patients demonstrated preservation of vocal fold movement without laryngeal nerve injury immediately after CPM-OT in the awake state during aspiration prevention surgery using the glottic closure technique. Postoperative videofluoroscopic examination of swallowing revealed the cricopharyngeal bar was absent and pharyngeal passage of the bolus and Food Intake LEVEL Scale was improved in all patients. CPM-OT is a feasible and less invasive treatment option.
Identifiants
pubmed: 35960351
doi: 10.1007/s00405-022-07588-0
pii: 10.1007/s00405-022-07588-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
483-486Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
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