477 results match your criteria Cricopharyngeal Myotomy


Endoscopic cricopharyngeal myotomy in infants.

Int J Pediatr Otorhinolaryngol 2019 Jan 2;116:15-17. Epub 2018 Oct 2.

Nemours Children's Specialty Care, Division of Pediatric Otolaryngology, Jacksonville, FL, USA.

Cricopharyngeal achalasia is a rare cause of dysphagia in young children. Conservative treatments involve medical therapy and serial dilations or injections. Definitive cure can be achieved with cricopharyngeal myotomy. Read More

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http://dx.doi.org/10.1016/j.ijporl.2018.09.034DOI Listing
January 2019

Squamous Cell Carcinoma Arising in Zenker's Diverticulum: A Case Report and Review of the Literature.

Turk Thorac J 2018 Jun 19:1-3. Epub 2018 Jun 19.

5th year Student, Alfaisal University, School of Medicine, Riyadh, Saudi Arabia.

The occurrence of squamous cell carcinoma (SCC) arising in a Zenker's diverticulum is a very rare incident. Complete excision of the diverticulum is considered as the procedure of choice for SCC in the pharyngeal pouch. Histopathological assessment of the pouch is the only modality to rule out SCC. Read More

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http://dx.doi.org/10.5152/TurkThoracJ.2018.17082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196899PMC
June 2018
12 Reads

Comparison of flexible endoscopic cricopharyngeal myectomy and myotomy approaches for Zenker diverticulum repair.

Gastrointest Endosc 2018 Oct 17. Epub 2018 Oct 17.

Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.

Background And Aims: Incision of the cricopharyngeal (CP) muscle with flexible endoscopy is an important approach for Zenker diverticulum (ZD) repair with symptomatic resolution in approximately 90% of cases, but recurrence has been reported in up to 20%. We report our experience with a new endoscopic myectomy of the CP muscle and compare the outcome with conventional myotomy of ZD.

Methods: Our retrospective study included all patients with ZD who underwent endoscopic repair between August 1, 2014 and July 31, 2017. Read More

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http://dx.doi.org/10.1016/j.gie.2018.09.043DOI Listing
October 2018
4 Reads

Endoscopic Approaches to Cricopharyngeal Myotomy and Pyloromyotomy.

Thorac Surg Clin 2018 Nov;28(4):507-520

Thoracic Oncology, Advanced GI, Thoracic Fellowships, Division of Thoracic Surgery, Swedish Cancer Institute, 1101 Madison Street, Suite 900, Seattle, WA 98104, USA. Electronic address:

Endoscopic cricopharyngeal myotomy has been demonstrated to be a safe and efficacious procedure with favorable outcomes for the treatment of cricopharyngeal dysfunction with or without Zenker diverticulum. It is a less invasive approach with decreased morbidity compared with the open approach and minimal reported complications. Peroral endoscopic pyloromyotomy is a novel technique for the treatment of gastroparesis. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2018.06.003DOI Listing
November 2018
10 Reads

Chronic sarcoid myopathy manifesting only as dysphagia and dysarthria in an 84-year-old woman.

Clin Neurol Neurosurg 2018 Oct 26;173:58-60. Epub 2018 Jul 26.

Department of Neurology, Tokyo Women's Medical University, Tokyo, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2018.07.018DOI Listing
October 2018
1 Read

[Manejo quirúrgico del divertículo de Zenker].

Cir Cir 2018 ;86(4):355-358

Servicio de Gastrocirugía, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Introducción: Los divertículos de Zenker son los divertículos más frecuentes del esófago. El tratamiento quirúrgico más utilizado es la diverticulectomía con miotomía del cricofaríngeo abierta. En años recientes se ha propuesto el tratamiento endoscópico. Read More

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http://www.cirugiaycirujanos.com/files/circir_2018_86_4_355-
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http://dx.doi.org/10.24875/CIRU.M18000054DOI Listing
January 2018
5 Reads

Successful single-session cricopharyngeal and Zenker's diverticulum peroral endoscopic myotomy.

Endoscopy 2018 08 12;50(8):E220-E221. Epub 2018 Jun 12.

Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA.

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http://dx.doi.org/10.1055/a-0624-1977DOI Listing
August 2018
4 Reads

Cricopharyngeal myotomy with flexible endoscope for Zenker's diverticulum using hook knife and endoclips (with video describing an objective measurement of the cutting length).

Esophagus 2018 04 8;15(2):122-126. Epub 2018 Mar 8.

Digestive and Operative Endoscopy Unit, Niguarda-Ca' Granda Hospital, Piazza dell'Ospedale Maggiore, Milan, Italy.

Cricopharyngeal myotomy with flexible endoscope is a well-known and safe treatment for Zenker's diverticulum. We describe hereafter how we perform this flexible endotherapy. From January 2011 to January 2017, we treated 28 patients with this endotherapy. Read More

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http://dx.doi.org/10.1007/s10388-018-0606-zDOI Listing
April 2018
1 Read

Treatment of Zenker's diverticulum using a novel grasping-type scissors forceps allows fast, safe, and effective endoscopic diverticulotomy.

Endosc Int Open 2018 Jun 25;6(6):E659-E663. Epub 2018 May 25.

Department of Medicine 1, Division of Gastroenterology, Ludwig Demling Endoscopy Center of Excellence, University Hospital Erlangen, Erlangen, Germany.

Background And Study Aims:  Although several endoscopic techniques have been described for Zenker's diverticulotomy, no standardized endoscopic approach has been established in clinical routine to date. This study aimed to assess the efficacy and safety of endoscopic diverticulotomy using the Clutch Cutter.

Patients And Methods:  Cricopharyngeal myotomy was performed in six prospectively enrolled patients with symptomatic Zenker's diverticulum, using the Clutch Cutter. Read More

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http://dx.doi.org/10.1055/a-0603-3357DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5979216PMC
June 2018
4 Reads

Zenker Diverticulum Treatment: Endoscopic or Surgical?

Chirurgia (Bucur) 2018 Mar-Apr;113(2):234-243

The Zenker Diverticulum is a rare pathology, the selection of patients for invasive treatments is questionable, as well as the applied therapeutic method. The aim of the study is to evaluate the main methods of classical and endoscopic surgical treatment in this pathology and to correlate pathophysiological aspects with clinical consequences.

Material And Method: We included 36 patients with Zenker hypopharyngeal diverticulum treated in 2010/2017 in two university clinics: 7 patients by classical surgical approach at the General and Esophageal Surgery Clinic of St. Read More

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http://dx.doi.org/10.21614/chirurgia.113.2.234DOI Listing
July 2018
7 Reads

Cricopharyngeal myotomy with thulium laser through flexible endoscopy: proof-of-concept study.

Endosc Int Open 2018 Apr 29;6(4):E470-E473. Epub 2018 Mar 29.

University of Milan, Department of Biomedical Sciences for Health, Division of General Surgery, IRCCS Policlinico San Donato, Milan, Italy.

Background And Study Aims : Endoscopic treatment of Zenker's diverticulum has proven feasible, but electrocautery and CO laser technology carry the risk of collateral thermal injury. Thulium laser septum incision may overcome this limitation. We describe for the first time the use of thulium laser through flexible endoscopy in a small cohort of patients with Zenker diverticulum. Read More

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http://dx.doi.org/10.1055/a-0581-8789DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880037PMC
April 2018
3 Reads

Esophageal obstruction due to a right-sided Zenker diverticulum.

J Visc Surg 2018 06 23;155(3):247-249. Epub 2018 Feb 23.

Department of digestive and oncological surgery, University Hospital Claude Huriez-Regional University Hospital Center, place de Verdun, 59037, Lille cedex, France. Electronic address:

A Zenker's or pharyngoesophageal diverticulum may represent a rare cause of upper digestive obstruction, or more often, cervical dysphagia, regurgitations and cough. It develops most often on the posterior left side of cervical oesophagus in elderly patients, and depending on the severity of clinical symptoms may warrant surgical or endoscopic treatment. For large lesions with a difficult endoscopic access to the diverticular neck, surgery is recommended. Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2018.02.002DOI Listing
June 2018
12 Reads

Modified approach for pediatric external cricopharyngeal myotomy.

Int J Pediatr Otorhinolaryngol 2018 Feb 15;105:111-114. Epub 2017 Dec 15.

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA. Electronic address:

Pediatric cricopharyngeal achalasia is an uncommon but important cause of oropharyngeal dysphagia. Failure of upper esophageal sphincter relaxation is the currently understood pathophysiology. Therapies include balloon dilation, botulinum toxin injection, and endoscopic or open cricopharyngeal myotomy (CPM). Read More

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http://dx.doi.org/10.1016/j.ijporl.2017.12.019DOI Listing
February 2018
3 Reads

Surgical treatment of enterovirus D68 brainstem encephalitis-induced dysphagia.

Auris Nasus Larynx 2018 Oct 1;45(5):1093-1097. Epub 2018 Feb 1.

Department of Otolaryngology Head and Neck Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Cluster of acute flaccid paralysis and cranial nerve dysfunction was associated with a 2014 outbreak of enterovirus D68 (EV-D68) respiratory illness in US. We describe a 33 year-old male patient of refractory dysphagia due to EV-D68-induced brainstem encephalitis successfully treated by surgery. Following acute upper respiratory tract infection, he developed dysphagia and bilateral facial paralysis. Read More

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http://dx.doi.org/10.1016/j.anl.2017.12.004DOI Listing
October 2018
4 Reads

Simulation of KTP Laser-Based Zenker Diverticulotomy with a Porcine Model and Laryngeal Dissection Station.

OTO Open 2017 Dec 16;1(4). Epub 2017 Oct 16.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Zenker's diverticulum is a rare cause of progressive dysphagia that is treated surgically. KTP laser-based diverticulotomy is one effective treatment. Developing a simulation model is helpful for rare conditions. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5751941PMC
http://dx.doi.org/10.1177/2473974X17736288DOI Listing
December 2017
6 Reads

Five-year outcome of endoscopic laser cricopharyngeal myotomy: Our experience in ten patients.

Clin Otolaryngol 2018 06 6;43(3):935-937. Epub 2018 Feb 6.

Department of ENT Surgery, Royal Berkshire Hospital, Reading, UK.

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http://dx.doi.org/10.1111/coa.13064DOI Listing
June 2018
2 Reads

National trends in primary tracheoesophageal puncture after total laryngectomy.

Laryngoscope 2018 Oct 27;128(10):2320-2325. Epub 2017 Dec 27.

Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts, U.S.A.

Objectives/hypothesis: Tracheoesophageal puncture (TEP) can be performed at the time of laryngectomy (primary) or postoperatively (secondary). Prior studies demonstrate safe and earlier voice acquisition and rehabilitation with primary TEP. The objectives of this study were to assess national trends in primary TEP and identify factors associated with its use. Read More

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http://dx.doi.org/10.1002/lary.27066DOI Listing
October 2018
7 Reads

Cricopharyngeal bar.

Pan Afr Med J 2017;27:288. Epub 2017 Aug 23.

Department of Otorhinolaryngology & Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.11604/pamj.2017.27.288.13296DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5660909PMC
February 2018

Swallowing outcomes after cricopharyngeal myotomy: A systematic review.

Head Neck 2018 Jan 30;40(1):203-212. Epub 2017 Oct 30.

Diane M. Bless Endowed Chair in Otolaryngology Head and Neck Surgery, Department of Surgery/Otolaryngology, University of Wisconsin - Madison, Madison, Wisconsin.

Background: No practice guidelines have been established for swallowing outcomes after cricopharyngeal myotomy (CPM). The purpose of this systematic review was to summarize evidence for swallowing outcomes in patients undergoing CPM to treat symptomatic cricopharyngeal dysfunction, in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) protocol.

Methods: Swallowing outcomes examined included penetration/aspiration ratings, manometric measures, patient-rated dysphagia scales, clinician-rated dysphagia scales, diet level, and weight. Read More

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http://dx.doi.org/10.1002/hed.24977DOI Listing
January 2018
1 Read

[Laryngeal endoscopic cricopharyngeal myotomy for cricopharyngeal achalasia post stroke].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Oct;52(10):729-732

Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences Peking Union Medical College, Beijing 100730, China.

To explore the safety and validity of endoscopic cricopharyngeal myotomy in patients with cricopharyngeal achalasia. A total of 19 patients with cricopharyngeal achalasia suffered from sustained dysphagia were enrolled in this study. The patients were divided into transcervical cricopharyngeal myotomy(CPM) group and endoscopic CPM (ECPM) group. Read More

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http://dx.doi.org/10.3760/cma.j.issn.1673-0860.2017.10.003DOI Listing
October 2017
1 Read

Management of cricopharyngeal achalasia in an 8-month child using endoscopic cricopharyngeal myotomy.

Int J Pediatr Otorhinolaryngol 2017 Oct 27;101:137-140. Epub 2017 Jul 27.

Department of Pediatric Otolaryngology Head and Neck Surgery, McGill University Health Center, Montreal Children's Hospital, Montreal, Quebec, Canada. Electronic address:

A term baby was transferred to our tertiary care center with desaturations and inability to manage upper airway secretions. Rigid bronchoscopy and swallowing study revealed cricopharyngeal (CP) achalasia. A gastrostomy tube insertion and Botulinum Toxin-A injection were performed at 6 weeks of age. Read More

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http://dx.doi.org/10.1016/j.ijporl.2017.07.037DOI Listing
October 2017
7 Reads

Hypopharyngeal applications of a new flexible robotic system in otolaryngology.

J Robot Surg 2018 Sep 27;12(3):571-574. Epub 2017 Sep 27.

Department of Otolaryngology, George Washington School of Medicine and Health Sciences, Washington, DC, 20037, USA.

This case report describes the use a new flexible robotic system in otolaryngology, the FlexRobot for cricopharyngeal myotomy in cadaver dissections, and for the treatment of a patient with esophageal stenosis and secondary dysphagia and dysphonia. The Flexrobot facilitates access to the hypopharynx with increased proximity to the surgical field and improved optics, allowing more exact dilatation and injection in our patient. It also would allow surgeons to reach deep inside the cavity of the hypopharynx into anatomical regions that are typically inaccessible without an open approach, as shown in our cadaveric procedure, where full exposure of the posterior aspect of the cricopharyngeus and isolation of the muscle belly were achieved. Read More

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http://dx.doi.org/10.1007/s11701-017-0756-3DOI Listing
September 2018
18 Reads

Endoscopic surgical technique for benign fibrotic strictures of the upper esophageal sphincter.

Dig Endosc 2017 Nov 7;29(7):806-810. Epub 2017 Sep 7.

Department of Otolaryngology-Head and Neck Surgery, Kurume University School of Medicine, Kurume, Japan.

A 43-year-old man with complaints of increased difficulty swallowing and weight loss underwent videofluorographic examination of swallowing, which revealed severely reduced cricopharyngeal opening. Endoscopic cricopharyngeal myotomy was carried out using a modified technique (mECPM). A benign fibrotic stricture of the upper esophageal sphincter (UES) was identified under visualization of a distending operating laryngoscope. Read More

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http://dx.doi.org/10.1111/den.12927DOI Listing
November 2017
4 Reads

Endoscopic retreatment of Zenker's diverticulum using novel endoscopic scissors - The Clutch Cutter device.

Rev Esp Enferm Dig 2017 Sep;109(9):669

Gastroenterologia, Hospital de Clinicas, Uruguay.

Treatment of Zenker's diverticulum by flexible endoscopy consists of the myotomy of the cricopharyngeal muscle and is considered to be feasible, effective and safe. This report describes the novel use of a Clutch Cutter® device to perform flexible endoscopic retreatment of a symptomatic recurrence after previous treatment using a Needle knife in a 68 year old woman with symptoms of dysphagia for solids. Read More

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http://dx.doi.org/10.17235/reed.2017.4789/2016DOI Listing
September 2017
7 Reads

Assessment of videofluoroscopic swallow study findings before and after cricopharyngeal myotomy.

Head Neck 2017 09 23;39(9):1869-1875. Epub 2017 Jun 23.

Department of Speech Science, Psychology, and Science, University of Auckland, Auckland, New Zealand.

Background: Cricopharyngeal myotomy is a treatment for obstructive cricopharyngeal bar and Zenker's diverticulitis. Little is reported regarding contrast study findings and their correlation with patient symptoms.

Methods: All patients treated by cricopharyngeal myotomy underwent a preoperative and postoperative videofluoroscopic swallow study (VFSS) and completed the self-reported Eating Assessment Tool (EAT-10). Read More

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http://dx.doi.org/10.1002/hed.24846DOI Listing
September 2017
28 Reads

A novel endoscopic surgery for dysphagia after stroke.

Surg Endosc 2018 01 21;32(1):127-133. Epub 2017 Jun 21.

Department of Otorhinolaryngology, Peking Union Medical College Hospital, BeiJing, 100730, China.

Background: Dysphagia is a common complication in stroke patients, which severely affects quality of life. This study aimed to evaluate the effectiveness and safety of temperature-controlled plasma radiofrequency (coblation)-assisted endoscopic cricopharyngeal myotomy (CAECPM) for the treatment sustained (>6 months) dysphagia in stroke patients.

Methods: This retrospective case-control study included a total of 24 stroke patients with sustained dysphagia, who were either treated with transcervical cricopharyngeal myotomy (CPM) (n = 16) or CAECPM (n = 12). Read More

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http://dx.doi.org/10.1007/s00464-017-5647-1DOI Listing
January 2018
16 Reads

A Comparative Study of Pharyngeal Repair in Two Layers Versus Three Layers, Following Total Laryngectomy in Carcinoma of Larynx.

Indian J Otolaryngol Head Neck Surg 2017 Jun 9;69(2):239-243. Epub 2017 Mar 9.

Department of ENT, Medical College and Hospital Kolkata, 88, College Street, Kolkata, 700073 West Bengal India.

Larynx is the second most common site for cancer in the upper aerodigestive tract. One of the dreaded complications following total laryngectomy has been pharyngo cutaneous fistula (PCF). PCF merits special attention due to its significant negative impact on the recovery process. Read More

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http://link.springer.com/10.1007/s12070-017-1108-3
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http://dx.doi.org/10.1007/s12070-017-1108-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5446349PMC
June 2017
3 Reads

Zenker's diverticulum: flexible versus rigid repair.

J Thorac Dis 2017 Mar;9(Suppl 2):S154-S162

Division of GI and MIS Surgery, The Oregon Clinic, Portland, OR, USA.

Zenker's diverticula (ZDs) are a relatively common cause of cervical dysphagia. Diagnosis is best by a good upper GI exam though upper endoscopy should be performed as well. Treatment is either by open, transcervical approaches or trans-oral. Read More

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http://dx.doi.org/10.21037/jtd.2017.03.133DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5384898PMC
March 2017
12 Reads

Laryngeal function-preserving operation for T4a laryngeal cancer with vocal cord paralysis - A case report.

Auris Nasus Larynx 2018 Feb 14;45(1):194-199. Epub 2017 Apr 14.

Department of Head and Neck Surgery, Miyagi Cancer Center, Natori, Miyagi, Japan.

For locally advanced laryngeal cancers, the standard treatment of choice is chemoradiotherapy if organ function needs to be conserved. Surgical treatment with larynx preservation is conducted only for limited cases. For locally advanced laryngeal cancers such as those with vocal cord fixation and/or cricoid cartilage destruction, there is no apparent standardized organ-preserving surgery keeping the essential laryngeal functions, viz. Read More

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http://dx.doi.org/10.1016/j.anl.2017.03.012DOI Listing
February 2018

Open vs. endoscopic cricopharyngeal myotomy; Is there a difference?

Am J Otolaryngol 2017 Jul - Aug;38(4):405-407. Epub 2017 Mar 31.

Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, PA, USA.

Introduction: The upper esophageal sphincter (UES) is composed largely of the cricopharyngeus muscle (CP) and acts as the gatekeeper to the esophagus. There are multiple methods of treating UES dysfunction, but myotomy has been shown to be the most definitive means. We aim to evaluate the difference between open and endoscopic CP myotomy (CPM). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01960709163039
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http://dx.doi.org/10.1016/j.amjoto.2017.03.010DOI Listing
May 2018
5 Reads

Effectiveness of endoscopic cricopharyngeal myotomy in adults with neurological disease: systematic review.

J Laryngol Otol 2016 Dec;130(12):1077-1085

Department of Clinical Speech and Language Studies,Trinity College Dublin,Ireland.

Objective: To determine the effectiveness of endoscopic cricopharyngeal myotomy on upper oesophageal sphincter dysfunction in adults with upper oesophageal sphincter dysfunction and neurological disease.

Data Sources: Published and unpublished studies with a quasi-experimental design investigating endoscopic cricopharyngeal myotomy effects on upper oesophageal sphincter dysfunction in humans were considered eligible. Electronic databases, grey literature and reference lists of included studies were systematically searched. Read More

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http://dx.doi.org/10.1017/S0022215116008975DOI Listing
December 2016
7 Reads

[Transoral endoscopic minimally invasive surgery for hypopharyngeal postcricoid and upper esophageal lesions].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016 Dec;30(24):1913-1917

Department of Otorhinolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College.

To describe the therapeutic effect of transoral endoscopic minimally invasive surgery for hypopharyngeal postcricoidarea and upper esophageal lesions. Transoral endoscopic minimally invastive surgery was carried out in fifteen patients.There were 7 patients with primary tumors on the postcricoid area, including three squamous cell carcinoma(2 cases T2N0M0,1 case T2N2cM0),two cavernous hemangioma, one giant fibrovascular polyp and one recurrent lipofibroma. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2016.24.004DOI Listing
December 2016
15 Reads

Utility of surgical myotomy in the dysphagia due to oculopharyngeal dystrophy.

Rev Esp Enferm Dig 2016 Dec;108(12):843-844

Medicina Interna, Hospital Universitario de Gran Canaria Dr. Negrín, España.

Oculopharyngeal muscular dystrophy (OPMD), is a rare hereditary myopathy that affects mainly the levator palpebrae and the constrictor pharyngeal muscles, being able to cause severe dysphagia. It can be treated effectively by surgical cricopharyngeal myotomy, as in the case presented below. Read More

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http://dx.doi.org/10.17235/reed.2016.4266/2016DOI Listing
December 2016
6 Reads

Cricopharyngeal function or dysfunction: what's the deal?

Authors:
Jacqui E Allen

Curr Opin Otolaryngol Head Neck Surg 2016 Dec;24(6):494-499

University of Auckland, Grafton, Auckland, New Zealand.

Purpose Of Review: The purpose of the review is to examine current research focused on upper oesophageal sphincter (UES) and cricopharyngeus muscle function, and how better understanding UES physiology will translate to improved management.

Recent Findings: Although much is known about UES function, new information describing the dynamics of the UES and cricopharyngeus is being identified through manometry, combined fluoromanometry, and anatomic study. Response of the UES to injury, reflux, and surgical interventions is reported. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000307DOI Listing
December 2016

[Cricopharyngeal achalasia: diagnosis and therapeutic alternatives].

Cir Pediatr 2015 Apr 15;28(2):81-83. Epub 2015 Apr 15.

Servicio de Cirugía Pediátrica Hospital Universitari i Politècnic la Fe. València.

Introduction: The cricopharyngeal achalasia is an esophageal motor disorder that entails a lack of relaxation of the upper esophageal sphincter. It is rare in children and its etiology is related to multiple factors. The symptoms are nonspecific and may be masked by other diseases. Read More

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April 2015
3 Reads

Does residual wall size or technique matter in the treatment of Zenker's diverticulum?

Laryngoscope 2016 11 24;126(11):2475-2479. Epub 2016 Mar 24.

Department of Otolaryngology-Head and Neck Surgery, University of North Carolina Hospitals, Chapel Hill, North Carolina, U.S.A..

Objectives/hypothesis: We aimed to compare three surgical techniques (open approach for diverticulectomy with cricopharyngeal myotomy [OA], endoscopic laser-assisted diverticulotomy [ELD], and endoscopic stapler-assisted diverticulotomy [ESD]) for treatment of Zenker's diverticulum with regard to validated swallowing outcomes, radiographic outcomes, complications, and revision rates. We statistically analyzed whether the size of residual postoperative party wall or the specific surgical technique correlates with swallowing outcomes.

Study Design: Retrospective chart review and radiographic study analysis. Read More

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http://dx.doi.org/10.1002/lary.25975DOI Listing
November 2016
13 Reads

[Diagnosis and management of pharyngeal dysphagia].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016 Oct;30(20):1585-1588

Department of Otolaryngology Head and Neck Surgery,Navy General Hospital,Beijing,100048,China.

To evaluate the effects of different managements on the patients with pharyngeal dysphagia.One hundred patients with pharyngeal dysphagia were recruited for this study.They were divided into three groups after evaluation of swallow function. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2016.20.001DOI Listing
October 2016
9 Reads

Acquired Pharyngeal Diverticulum after Anterior Cervical Fusion Operation Misdiagnosed as Typical Zenker Diverticulum.

Korean J Thorac Cardiovasc Surg 2016 Aug 5;49(4):309-12. Epub 2016 Aug 5.

Department of Thoracic and Cardiovascular Surgery, Pusan National University Yangsan Hospital.

A pharyngeal diverticulum is a rare complication of an anterior cervical discectomy and fusion (ACDF). We present a case of a pharyngeal diverticulum after an ACDF, which was misdiagnosed as a typical Zenker diverticulum. A 54-year-old woman presented with dysphagia and a sense of irritation in the neck following C5 through C7 cervical fusion 3 years prior. Read More

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http://dx.doi.org/10.5090/kjtcs.2016.49.4.309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4981237PMC
August 2016
3 Reads

Treatment of oropharyngeal dysphagia secondary to idiopathic cricopharyngeal bar: Surgical cricopharyngeal muscle myotomy versus dilation.

Am J Otolaryngol 2016 Nov - Dec;37(6):507-512. Epub 2016 Jul 27.

Department of Otorhinolaryngology, Mayo Clinic, 200 1st St SW, Rochester, MN, USA.

Objective: To compare swallowing outcomes following cricopharyngeal (CP) dilation versus surgical myotomy in patients with dysphagia secondary to idiopathic CP bar.

Methods: All patients had an idiopathic CP bar without a history of Zenker's diverticulum, head and neck cancer, or systemic neurologic disease treated between 2000 and 2013. The Functional Outcome Swallowing Scale (FOSS) was utilized to assess dysphagia symptoms. Read More

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http://dx.doi.org/10.1016/j.amjoto.2016.07.006DOI Listing
September 2017
19 Reads

Flexible endoscopic treatment of Zenker's diverticulum: thirteen years' experience in Spain.

Rev Esp Enferm Dig 2016 Jun;108(6):297-303

Aparato Digestivo, Hospital La Zarzuela.

Introduction: Flexible endoscopic treatment is one of the alternative approaches for the management of Zenker's diverticum. The present paper shows our short-term and long-term results with flexible endoscopic cricopharyngeal myotomy/septotomy.

Patients And Methods: A retrospective analysis of our experience in patients with Zenker's diverticulum treated using a flexible endoscope, assisted by a flexible diverticuloscope, between 2002 and 2015. Read More

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http://dx.doi.org/10.17235/reed.2016.4030/2015DOI Listing
June 2016
4 Reads

Persistent post-stroke dysphagia treated with cricopharyngeal myotomy.

Ann Indian Acad Neurol 2016 Apr-Jun;19(2):249-51

Department of Neurology, Comprehensive Stroke Care Program, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Post-stroke dysphagia is a common problem after stroke. About 8-13% patients have persistent dysphagia and are unable to return to pre-stroke diet even after 6 months of stroke. Use of percutaneous endoscopic gastrostomy (PEG) may be required in these patients, which may be psychologically unacceptable and impair the quality of life. Read More

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http://dx.doi.org/10.4103/0972-2327.160055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888691PMC
June 2016
1 Read

Flexible endoscopic cricopharyngeal myotomy - The gold standard for the management of Zenker's diverticulum.

Rev Esp Enferm Dig 2016 06;108(6):295-6

Digestivo, Hospital Universitario Quirñon Madrid, España.

The prevalence of Zenker's diverticulum (ZD) is difficult to estimate. If we focus on some published data, it may be as low as 2 new cases per 100,000 inhabitants per year in the United Kingdom, which is in contrast the with feeling in some endoscopy units, that this condition's prevalence is increasing year after year. Prevalence likely remains the same as ever, but the addition of factors such as population ageing, optimal diagnostic care, availability of effective endoscopic management, increased awareness, and cumulative experience in some endoscopy teams, may well have increasingly brought this condition to our attention in our daily practice. Read More

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http://dx.doi.org/10.17235/reed.2016.4464/2016DOI Listing
June 2016
2 Reads

Primary tracheoesophageal puncture and cricopharyngeal myotomy in stapler-assisted total laryngectomy.

J Laryngol Otol 2016 Jul 26;130(7):686-90. Epub 2016 May 26.

Department of Otolaryngology / Head and Neck Surgery,Stanford University School of Medicine,California,USA.

Objective: To evaluate the utility of the hybrid tracheoesophageal puncture procedure in stapler-assisted laryngectomy.

Methods: Patients who underwent total laryngectomy at a single institution from 2009 to 2015 were reviewed. The interventions assessed were surgical creation of a tracheoesophageal puncture and placement of a voice prosthesis. Read More

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http://dx.doi.org/10.1017/S0022215116008070DOI Listing
July 2016
2 Reads

Management of isolated cricopharyngeal dysfunction: systematic review.

J Laryngol Otol 2016 Jul 19;130(7):611-5. Epub 2016 May 19.

ENT Department,St Michael's Hospital,University Hospitals Bristol NHS Foundation Trust,UK.

Objective: A systematic review was performed to evaluate the safety and efficacy of different therapeutic interventions available for the management of isolated cricopharyngeal dysfunction.

Methods: Studies were identified using the following databases: Ovid (Medline, Embase), the Cochrane Library, PubMed and Google Scholar. An initial search identified 339 articles. Read More

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http://www.journals.cambridge.org/abstract_S0022215116007994
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http://dx.doi.org/10.1017/S0022215116007994DOI Listing
July 2016
23 Reads

Improvement in the Reflux Symptom Index Following Surgery for Cricopharyngeal Dysfunction.

J Voice 2017 Jan 1;31(1):86-89. Epub 2016 Apr 1.

Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, California.

Objectives: Gastroesophageal reflux may contribute to the development of cricopharyngeal dysfunction and Zenker's diverticulum. Common dictum suggests that if upper esophageal sphincter tone is reduced through cricopharyngeal myotomy, symptoms of laryngopharyngeal reflux may worsen. We hypothesized that patients who undergo myotomy should show decreased dysphagia symptoms with concurrent worsening of reflux symptomatology and that these changes would be greater in those patients undergoing complete versus partial myotomy. Read More

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http://dx.doi.org/10.1016/j.jvoice.2016.02.006DOI Listing
January 2017
6 Reads

Evolving Management of Zenker's Diverticulum in the Endoscopic Era: A North American Experience.

World J Surg 2016 Jun;40(6):1390-6

Division of Thoracic, McGill University, Montreal General Hospital, Room L9-112, 1650 Cedar Avenue, Montreal, QC, H3A 1G4, Canada.

Background: Open surgical cricopharyngeal myotomy(CM) is considered standard of care for Zenker's diverticulum(ZD). Trans-oral CM has been described using a rigid stapling device for two decades; however, this remains problematic for severely kyphotic patients. This problem can be overcome with flexible endoscopy utilizing an electrosurgical needle knife. Read More

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http://dx.doi.org/10.1007/s00268-016-3442-0DOI Listing
June 2016
13 Reads

Outcomes of endoscopic cricopharyngeal myotomy with CO2 laser surgery: A retrospective study of 47 patients.

Head Neck 2016 07 13;38(7):1022-7. Epub 2016 Feb 13.

Department of Otolaryngology/Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Endoscopic cricopharyngeal myotomy (ECPM) using CO2 laser surgery presents a less invasive treatment technique when compared to transcervical cricopharyngeal myotomy.

Methods: Forty-seven patients who underwent ECPM from 2002 until 2013 were included in this study. Patient characteristics, and preoperative and postoperative outcome and complications were scored by retrospective chart review and by using the Deglutition Handicap Index (DHI). Read More

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http://dx.doi.org/10.1002/hed.24400DOI Listing
July 2016
12 Reads

Preliminary Evaluation of Functional Swallow After Total Laryngectomy Using High-Resolution Manometry.

Ann Otol Rhinol Laryngol 2016 Jul 11;125(7):541-9. Epub 2016 Feb 11.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

Introduction: Understanding of swallowing pressures after total laryngectomy (TL) and what constitutes a "functional" swallow are limited. Mobile structures are altered or removed after TL, with consequent effects on pressure profiles. High-resolution manometry (HRM) can characterize these pressures. Read More

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http://dx.doi.org/10.1177/0003489416629978DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300062PMC
July 2016
28 Reads

[Endoscopic treatment of Zenker's diverticulum with soft diverticuloscope: a first Tunisian experience].

Tunis Med 2015 Jul;93(7):416-9

Introduction: Zenker's diverticulum is an acquired hernia from the posterior pharyngeal mucosa developed in the pharyngo-esophageal junction. The gold standard for diagnosis is pharyngo-esophageal barium swallow study. Open surgery with cricopharyngeal myotomy has long been the conventional treatment. Read More

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July 2015
11 Reads

ASSESSMENT OF MECHANICAL AND MANUAL SUTURE IN THE SURGICAL TREATMENT OF THE PHARYNGOESOPHAGEAL DIVERTICULUM.

Arq Bras Cir Dig 2015 Nov-Dec;28(4):239-42

Medical School, Pontifical Catholic University of Campinas, Campinas, SP, Brazil.

Background: The occurrence of the pharyngoesophageal, or Zenker diverticulum is not frequent in the national scenario, and the technique of the diverticulectomy with cricomyotomy in medium and great dimension diverticula is still the most indicated. Because the resection of the diverticulum requires the suture of the pharynx, dehiscence can occur, thereafter delaying swallowing. Hence, the idea is to accomplish this surgical procedure, comparing the manual and mechanical suture, in order to evaluate the real benefit of the mechanical technique. Read More

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http://dx.doi.org/10.1590/S0102-6720201500040005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755173PMC
October 2016
62 Reads