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Cricopharyngeal myotomy.

N M Gagic

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Cricopharyngeal myotomy effectively treats swallowing difficulties caused by cricopharyngeal muscle issues and pharyngoesophageal diverticulum. The procedure shows excellent results for most patients, particularly those with idiopathic hypertrophy or diverticula.

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    Area of Science:

    • Otolaryngology
    • Gastroenterology
    • Neurology

    Background:

    • Cricopharyngeal myotomy is a treatment for various pharyngeal and esophageal motility disorders.
    • Conditions like pseudobulbar palsy and idiopathic cricopharyngeal muscle hypertrophy can cause significant dysphagia.

    Purpose of the Study:

    • To evaluate the indications and outcomes of cricopharyngeal myotomy.
    • To assess the effectiveness of the procedure in patients with diverse swallowing disorders.

    Main Methods:

    • A review of 20 consecutive cricopharyngeal myotomies, performed with or without diverticulectomy.
    • Patient outcomes were assessed based on symptom improvement and objective measures.

    Main Results:

    • All 20 patients presented with cervical esophageal dysphagia; 55% experienced weight loss.

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  • Excellent results were observed in patients with pharyngoesophageal diverticulum and idiopathic cricopharyngeal muscle hypertrophy.
  • Significant improvement occurred in patients with cerebrovascular accidents, vagal injuries, and amyotrophic lateral sclerosis, but poor outcomes were noted in myoneurogenic disorders.

    • Conclusions:

    • Cricopharyngeal myotomy is highly effective for pharyngoesophageal diverticulum and idiopathic cricopharyngeal muscle hypertrophy.
    • The procedure offers substantial benefits for specific neurogenic conditions, though less so for myoneurogenic disorders.