Validated swallowing outcomes following open transcervical cricopharyngeal myotomy for the treatment of symptomatic pharyngeal pouches

2021 ◽  
Author(s):  
Elizabeth Emma Ross ◽  
Christopher Snowden ◽  
Richard James England
Keyword(s):  
Cricopharyngeal Myotomy ◽  
Swallowing Outcomes

Swallowing outcomes after cricopharyngeal myotomy: A systematic review

Head & Neck ◽  
2017 ◽  
Vol 40 (1) ◽  
pp. 203-212 ◽  
Author(s):  
Molly A. Knigge ◽  
Susan L. Thibeault
Keyword(s):  
Systematic Review ◽  
Cricopharyngeal Myotomy ◽  
Swallowing Outcomes

scholarly journals Swallowing Outcomes in 7 Patients Following Endoscopic Cricopharyngeal Myotomy With Primary Closure

2020 ◽  
pp. 014556132095956
Author(s):  
Andrew Williamson ◽  
Daniel Scholfield ◽  
Zaid Awad
Keyword(s):  
Quality Of Life ◽  
Statistical Significance ◽  
Case Series ◽  
Well Being ◽  
Cricopharyngeal Myotomy ◽  
Pharyngeal Pouch ◽  
Small Series ◽  
Dysphagia Handicap Index ◽  
Swallowing Outcomes

Cricopharyngeal spasm and pharyngeal pouch can result in severe dysphagia symptoms that can have a significant impact on a patient’s quality of life. Several surgical interventions have been demonstrated including balloon dilatation, botox injection, and open and endoscopic cricopharyngeal myotomy. The aim of this case series is to describe our technique for endoscopic cricopharyngeal myotomy and compare pre- and postoperative swallowing outcomes using objective swallowing questionnaires in a small series of patients. Seven patients diagnosed with cricopharyngeal spasm or grade 1 pharyngeal pouch on barium swallow were prospectively observed. MD Anderson Dysphagia inventory (MDADI) and Dysphagia handicap index (DHI) were given to patients before and after their operation. All patients underwent the same surgical technique with the cricopharyngeal bar divided and the defect closed with dissolvable sutures. Mean inpatient stay was 7 days (range 1-8) and mean time to resumption of soft diet was 4 (range 1-7) days. All patients resumed oral diet before discharge. MDADI scores showed improvement across all domains, however only the emotional score achieved statistical significance ( P = .04). Dysphagia handicap index scores showed a statistically significant improvement across functional, emotional, and total domains. Postoperative chest infection treated with oral antibiotics occurred in 3 patients (43%) and no other complications were documented. In conclusion, endoscopic cricopharyngeal myotomy with primary sutured endoscopic closure can result in a significant benefit to patient’s swallowing symptoms, emotional well-being, and quality of life.

Cricopharyngeal Myotomy

2006 ◽  
Vol 57 (2) ◽  
pp. 93-96
Author(s):  
N. Tayama ◽  
Takaharu N.
Keyword(s):  
Cricopharyngeal Myotomy

Evaluation of Endoscopic Trans-oral Cricopharyngeal Myotomy for Dysphagia

2019 ◽  
Vol 70 (4) ◽  
pp. 273-277
Author(s):  
Katsuyuki Kawamoto ◽  
Sueyoshi Moritani ◽  
Kana Yoshioka ◽  
Hiroya Kitano
Keyword(s):  
Cricopharyngeal Myotomy

Utility of transcervical management of Zenker's diverticulum

2015 ◽  
Vol 130 (S1) ◽  
pp. S16-S19 ◽  
Author(s):  
B Jackson ◽  
Z Ahmad ◽  
R P Morton
Keyword(s):  
Hospital Stay ◽  
Complication Rate ◽  
Length Of Hospital Stay ◽  
Zenker’S Diverticulum ◽  
Cricopharyngeal Myotomy ◽  
Pharyngeal Pouch ◽  
Recent Systematic Review ◽  
Transcervical Approach ◽  
Endoscopic Techniques ◽  
Zenker's Diverticulum

AbstractObjective:To evaluate our results in treating Zenker's diverticulum via the transcervical approach, and to compare our experiences with a recent systematic review of both open and endoscopic approaches to the pharyngeal pouch.Method:An audit yielded 41 consecutive cases of Zenker's diverticulum treated between 2003 and 2013.Results:All 41 patients underwent transcervical cricopharyngeal myotomy; 29 sacs also required ‘inversion’. The median and mean length of hospital stay was 1 night and 2.5 nights respectively. The recurrence rate was 2.4 per cent and the complication rate was 9.8 per cent.Conclusion:When compared to reported endoscopic techniques, transcervical cricopharyngeal myotomy (with or without inversion) in our unit resulted in: shorter hospital stay, a comparable complication rate and fewer recurrences.

Stricture location predicts swallowing outcomes following endoscopic rendezvous procedures

2016 ◽  
Vol 127 (6) ◽  
pp. 1388-1391 ◽  
Author(s):  
Katherine N. Adams ◽  
Rupali N. Shah ◽  
Robert A. Buckmire
Keyword(s):  
Swallowing Outcomes

scholarly journals Cricopharyngeal myotomy for neurogenic oropharyngeal dysphagia

1997 ◽  
Vol 113 (2) ◽  
pp. 233-241 ◽  
Author(s):  
Nancy Claire Poirier ◽  
Luigi Bonavina ◽  
Raymond Taillefer ◽  
Attilio Nosadini ◽  
Alberto Peracchia ◽  
...  
Keyword(s):  
Oropharyngeal Dysphagia ◽  
Cricopharyngeal Myotomy

scholarly journals Failure of Cricopharyngeal Myotomy to Improve Dysphagia Following Head and Neck Cancer Surgery

1999 ◽  
Vol 125 (9) ◽  
pp. 942 ◽  
Author(s):  
John R. Jacobs ◽  
Jerilyn Logemann ◽  
Thomas F. Pajak ◽  
Barbara Roa Pauloski ◽  
Sharon Collins ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Cancer Surgery ◽  
Cricopharyngeal Myotomy
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