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Management of cricopharyngeus muscle dysfunction
Maggie A Kuhn1, Peter C Belafsky
1Department of Otolaryngology/Head and Neck Surgery, Center for Voice and Swallowing, University of California, Davis, 2521 Stockton Boulevard, Suite 7200, Sacramento, CA 95817, USA.
Otolaryngologic Clinics of North America
|November 23, 2013
Summary
Cricopharyngeus muscle dysfunction (CPMD) causes difficulty swallowing. Accurate diagnosis is key for effective treatment, potentially improving swallowing function in selected patients with CPMD.
Area of Science:
- Otolaryngology
- Gastroenterology
- Neurology
Background:
- The cricopharyngeus muscle (CPM) is vital for the upper esophageal sphincter (UES).
- Dysphagia, or difficulty swallowing, can stem from cricopharyngeus muscle dysfunction (CPD).
- CPD involves the incomplete relaxation or opening of the CPM during swallowing.
Purpose of the Study:
- To highlight the significance of diagnosing CPD.
- To discuss diagnostic tools for differentiating CPD from other UES dysfunctions.
- To emphasize the importance of accurate diagnosis for guiding treatment decisions.
Main Methods:
- Review of existing literature on CPD and UES dysfunction.
- Analysis of diagnostic modalities for evaluating CPM function.
- Correlation of diagnostic findings with clinical manifestations of dysphagia.
Main Results:
- CPD is a significant cause of dysphagia, particularly with solid foods.
- Various diagnostic tools can identify CPD.
- Accurate diagnosis is crucial for successful management.
Conclusions:
- CPD requires precise diagnosis for effective therapeutic strategies.
- Interventions targeting the CPM can significantly alleviate dysphagia in suitable patients.
- Further research into diagnostic accuracy and treatment efficacy is warranted.
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