The risk and complications of aspiration following cricopharyngeal myotomy

The American Journal of Medicine
B H CampbellR J Toohill

Abstract

This article reviews a series of patients undergoing cricopharyngeal myotomy and determines whether clinically dangerous aspiration is seen postoperatively. A total of 23 patients underwent myotomy. Indications included Zenker's diverticulum (14), anticipated or real dysphagia from skull base lesions (5), dysphagia from stroke (2), and dysphagia from glossectomy and radiation therapy (2). Surgical procedures, complications, and effectiveness were reviewed. Of patients with Zenker's diverticula, 13 of 14 had clinically useful improvement in dysphagia. Of patients with skull base lesions, all 5 had improvement (4 of these also had thyroplasites and cervical plexus-to-superior laryngeal nerve anastomoses). Of the patients with strokes, neither had significant improvement. Of the patients with glossectomy and radiation, 1 had useful improvement. Complications were seen in 5 patients: 2 had self-limiting pharyngeal leaks, and 3 had pneumonia 1-4 months postoperatively. One patient also had a postoperative ipsilateral recurrent laryngeal nerve injury. There were no postoperative deaths. In conclusion, cricopharyngeal myotomy has definite utility in the management of cervical dysphagia, even though the etiology of the dysphagia can be...Continue Reading

References

Mar 1, 1992·The Annals of Otology, Rhinology, and Laryngology·J A McKenna, H H Dedo
Sep 1, 1987·Acta Radiologica·O EkbergS Lindgren
Dec 1, 1974·American Journal of Surgery·B F Akl, W R Blakeley
Sep 1, 1982·JPEN. Journal of Parenteral and Enteral Nutrition·J J Mamel
Jan 1, 1994·American Journal of Otolaryngology·F R Miller, I Eliachar
Jan 1, 1996·Movement Disorders : Official Journal of the Movement Disorder Society·L J BornE M Quigley
Jan 1, 1996·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F H EllisW A Williamson

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Citations

May 11, 2000·Disease-a-month : DM·W J Hogan, R Shaker
Jul 9, 2004·Current Treatment Options in Gastroenterology·Dawn D. F. Ferguson, Kenneth R. DeVault
Jun 14, 2016·Annals of Indian Academy of Neurology·Sruthi S NairPadmavathy N Sylaja
Feb 7, 2004·The Annals of Otology, Rhinology, and Laryngology·Andrew R Spector, Samir V Shah
Jul 29, 2003·Head & Neck·Elizabeth A VeenkerJames I Cohen
Jul 13, 2020·Dysphagia·Sung Ho Jang, Min Son Kim
Dec 13, 2016·The Journal of Laryngology and Otology·Ó GilheaneyM Walshe
Dec 21, 2020·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·Laura W J BaijensPere Clavé

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