Cricopharyngeal myotomy in the treatment of dysphagia

The Laryngoscope
P L Chodosh

Abstract

Deglutition is a complex neuromuscular act. Alterations in anatomy and physiology may lead to dysphagia. The role of the cricopharyngeus appears to be the keystone in the rehabilitation of many patients with dysphagia. This paper examines the physiology of swallowing as well as the patho-physiology of its abberations. Techniques and complications of cricopharyngeal myotomy are presented. Cases of dysphagia due to ablative surgery of the head and neck, dermatomyositis, cerebrovascular accidents, and cricopharyngeal achalasia in which cricopharyngeal myotomy was utilized, are reported. It would appear from this small number of cases, that cricopharyngeal myotomy is indicated in the rehabilitation of dysphagia in patients with varied disease states.

Citations

May 27, 2016·The Journal of Laryngology and Otology·D M Beswick, E J Damrose
Sep 1, 1979·The Annals of Otology, Rhinology, and Laryngology·J J van Overbeek, H C Betlem
Feb 27, 2016·Clinics and Practice·Takeshi KusunokiRyo Wada

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