545 results match your criteria Cricopharyngeal Myotomy

Zenker-diverticulum miatt végzett 47 flexibilis endoszkópos beavatkozás jellemzői és kimenetele.

Orv Hetil 2022 Apr 24;163(17):677-687. Epub 2022 Apr 24.

1 Magyar Honvédség Egészségügyi Központ, Honvédkórház, Gasztroenterológiai Osztály Budapest, Róbert Károly krt. 44., 1134 Magyarország.

Összefoglaló. Bevezetés: A musculus cricopharyngeus flexibilis endoszkópos myotomiája a tüneteket okozó Zenker-diverticulum hatékony, biztonságos kezelési módszere. Célkitűzés és módszer: Retrospektíven elemeztük a hagyományos flexibilis endoszkópos myotomia eljárással szerzett tapasztalatainkat. Read More

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Use of Pharyngeal High-Resolution Manometry to Evaluate Dysphagia in Adults with Motor Neurone Disease: A Scoping Review.

Dysphagia 2022 Mar 2. Epub 2022 Mar 2.

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

There has been a recent shift towards proactive dysphagia intervention in motor neurone disease (MND) to maintain physiological reserve. Pharyngeal high-resolution manometry (PHRM) can quantify swallowing pathophysiology to inform and evaluate proactive dysphagia intervention. This study aims to explore the current use of PHRM as a dysphagia evaluation in adults with MND. Read More

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Zenker's diverticulum: advancing beyond the tunnel.

VideoGIE 2021 Dec 15;6(12):562-567. Epub 2021 Sep 15.

Johns Hopkins Medical Institutions, Baltimore, Maryland.

Background And Aims: Zenker's diverticulum (ZD) is attributed to a poorly compliant cricopharyngeus muscle, and the mainstay of treatment is a cricopharyngeal myotomy. We present a video series summarizing endoscopic treatment options for ZD and related conditions.

Methods: We review the rationale and key technique for various endoscopic treatment modalities for ZD, cricopharyngeal bar, and other esophageal diverticula. Read More

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December 2021

Cricopharyngeal Myotomy in National Surgical Quality Improvement Program (NSQIP): Complications for Otolaryngologists Versus Non-otolaryngologists.

Cureus 2021 Oct 25;13(10):e19021. Epub 2021 Oct 25.

Otolaryngology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.

Objective: Comparing outcomes after cricopharyngeal myotomy (CM) performed by otolaryngologists (OTO) and non-otolaryngologists (NO).

Methods: A retrospective analysis of the 2014-19 ACS-NSQIP database (American College of Surgeons National Surgical Quality Improvement Program) of patients who underwent open CM (CPT code 43030) as their primary procedure. Analyzed variables include medical comorbidities, operative time, the total length of stay, readmission, reoperation, concurrent procedures, postoperative complications, and postoperative diagnoses. Read More

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October 2021

Cricopharyngeal peroral endoscopic myotomy improves oropharyngeal dysphagia in patients with Parkinson's disease.

Endosc Int Open 2021 Nov 12;9(11):E1811-E1819. Epub 2021 Nov 12.

Institute of Digestive Disease, Prince of Wales Hospital, Chinese University of Hong Kong, HKSAR, China.

 Oropharyngeal dysphagia (OPD) is prevalent in patients with Parkinson's disease (PD). Upper esophageal sphincter (UES) dysfunction is an important pathophysiological factor for OPD in PD. The cricopharyngeus (CP) is the main component of UES. Read More

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November 2021

Upper Gastrointestinal Functional and Motility Disorders in Children.

Pediatr Clin North Am 2021 12;68(6):1237-1253

Section of Pediatric Gastroenterology, Hepatology and Nutrition, Yale New Haven Children's Hospital, Yale University School of Medicine, 333 Cedar Street, LMP 4093, New Haven, CT 06510, USA. Electronic address:

Children with disorders affecting the sensory and motor functions of the esophagus will present primarily with swallowing dysfunction, dysphagia, and chest pain, and those with disorders affecting the normal function of the stomach will present with symptoms like abdominal pain, nausea, and vomiting. Recent advances in the mechanisms of disease and technology have increased our understanding of gastrointestinal physiology and that knowledge has been applied to develop new diagnostic studies and therapeutic interventions. We present an overview of the clinical presentation, diagnosis, and treatment of common primary and secondary functional and motility disorders affecting the upper gastrointestinal tract in children. Read More

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December 2021

Peroral endoscopic myotomy for management of cricopharyngeal bars (CP-POEM): a retrospective evaluation.

Endoscopy 2022 05 28;54(5):498-502. Epub 2021 Oct 28.

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

Background: Cricopharyngeal bars (CPBs) are a unique etiology of oropharyngeal dysphagia. Symptomatic patients are managed with endoscopic dilation or surgical myotomy. Cricopharyngeal peroral endoscopic myotomy (CP-POEM) is an emerging technique for the management of dysphagia due to CPBs. Read More

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Effects of Aspiration Prevention Surgery on the Dynamics of the Pharynx and Upper Esophageal Sphincter.

OTO Open 2021 Oct-Dec;5(4):2473974X211048505. Epub 2021 Oct 21.

Department of Otolaryngology and Head and Neck Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.

Objective: Oral intake after aspiration prevention surgery (APS) is influenced by postoperative pharyngeal pressure and the dynamics of the upper esophageal sphincter (UES). We examined the effects of less invasive APS combined with UES relaxation techniques (laryngeal closure with cricopharyngeal myotomy [LC-CPM] and central-part laryngectomy [CPL]) on pharyngeal pressure and UES dynamics.

Study Design: Retrospective, observational study. Read More

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October 2021

Pediatric Medullary Stroke, Severe Dysphagia, and Multimodal Intervention.

Dysphagia 2021 Oct 27. Epub 2021 Oct 27.

Children's Healthcare of Atlanta, 1405 Clifton Road NE, Atlanta, GA, 30322, USA.

Lateral medullary syndrome/Wallenberg syndrome is a stroke in the lateral medulla with symptoms often including dysphagia and dysphonia. In adults, this stroke is the most common brainstem stroke, but it is rare in the pediatric population. Insults to the medulla can involve the "swallowing centers," the nucleus ambiguus and nucleus tractus solitarius, and the cranial nerves involved in swallowing, namely IX (glossopharyngeal) and X (vagus). Read More

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October 2021

KTP laser endoscopic cricopharyngeal myotomy and pharyngeal pouch diverticulotomy: how I do it.

Eur Arch Otorhinolaryngol 2022 Jan 5;279(1):533-536. Epub 2021 Oct 5.

Department of Otolaryngology Head and Neck Surgery, Flinders Medical Centre and Flinders University, Bedford Park, SA, 5042, Australia.

Background: Various endoscopic methods of dividing the cricopharyngeus muscle and the common wall of pharyngeal pouches have been described, most commonly the carbon dioxide laser and stapler. The potassium titanyl phosphate (KTP) laser is an alternate endoscopic method of treatment.

Methods: The KTP laser is used in a similar fashion to the carbon dioxide laser to carefully divide the cricopharyngeus muscle fibres ± the common wall of the pharyngeal pouch, under microscopic visualization. Read More

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January 2022

Cricopharyngeal peroral endoscopic myotomy for achalasia of the cricopharynx: "to do or not to do".

Endoscopy 2022 Jul 9;54(7):E382-E383. Epub 2021 Aug 9.

Endoscopy Unit, Gastroenterology Department, Complejo Hospitalario de Navarra, Pamplona, Spain.

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Dysphagia Severity and Outcomes Following Iatrogenic High Vagal Nerve Injury.

Ann Otol Rhinol Laryngol 2022 May 22;131(5):493-498. Epub 2021 Jun 22.

Loma Linda Voice and Swallowing Center, Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Health System, Loma Linda, CA, USA.

Objective: To examine severity of dysphagia and outcomes following iatrogenic high vagal nerve injury.

Methods: Retrospective chart review of all patients with iatrogenic high vagal nerve injury that were seen at a tertiary referral center from 2012 to 2020.

Results: Of 1304 patients who met criteria for initial screening, 18 met all inclusion criteria. Read More

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Assessing the Clinical Utility of the Early Postoperative Pharyngogram in Hypopharyngeal Surgery for Dysphagia.

Laryngoscope 2022 02 10;132(2):272-277. Epub 2021 May 10.

Department of Otolaryngology-Head and Neck Surgery, University of Washington Medical Center, Seattle, Washington, U.S.A.

Objectives/hypothesis: To evaluate the clinical utility of postoperative contrast x-ray pharyngograms (XRP) for detecting pharyngoesophageal leaks following hypopharyngeal dysphagia surgery.

Study Design: Retrospective cohort study.

Methods: Medical records were reviewed of patients undergoing endoscopic (E-) or open (O-) Zenker's diverticulectomy (-ZD) with cricopharyngeal myotomy (-CPM) and CPM alone from 2008 to 2020 at one academic institution. Read More

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February 2022

Right-sided Zenker's diverticulum resected using intraoperative neuromonitoring.

Clin J Gastroenterol 2021 Aug 4;14(4):965-968. Epub 2021 Apr 4.

Department of Surgical Oncology, Gifu University School of Medicine, 1-1 Yanagido, Gifu, 501-1194, Japan.

Right-sided Zenker's diverticulum is a rare pharyngoesophageal diverticulum. The risk of intraoperative injury of the recurrent laryngeal nerve is high during transcervical diverticulectomy because this nerve presents many variations of extralaryngeal bifurcation before entry into the larynx. We present a case of right-sided Zenker's diverticulum that was safely resected with the use of intraoperative neuromonitoring to prevent right recurrent laryngeal nerve injury. Read More

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Regarding Cricopharyngeal Myotomy in Inclusion Body Myositis: Comparison of Endoscopic and Transcervical Approaches.

Laryngoscope 2021 06 1;131(6):E1998. Epub 2021 Apr 1.

Department of Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Kodaira, Japan.

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Design and implementation of botulinum toxin on cricopharyngeal dysfunction guided by a combination of catheter balloon, ultrasound, and electromyography (BECURE) in patients with stroke: study protocol for a randomized, double-blinded, placebo-controlled trial.

Trials 2021 Mar 31;22(1):238. Epub 2021 Mar 31.

Department of Rehabilitation Medicine, The Third Affiliated Hospital, Sun Yat-sen University, 600 Tianhe Road, Guangzhou, 510630, Guangdong Province, China.

Background: Cricopharyngeal dysfunction (CPD) occurs in various neurological disorders, especially stroke. The treatment approaches of CPD include swallowing training, cricopharyngeal dilation, botulinum toxin (BTX) injection, and cricopharyngeal myotomy. BTX injection into the cricopharyngeal muscle is effective and safe for some patients with dysphagia, with a success rate between 43 and 100% (mean = 76%). Read More

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Mucosa-preserving Zenker's diverticulotomy.

VideoGIE 2021 Mar 13;6(3):109-111. Epub 2020 Dec 13.

Division of Gastroenterology & Hepatology, Johns Hopkins Medicine, Baltimore, Maryland.

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Preclinical experience with a novel single-port platform for transoral surgery.

Surg Endosc 2021 08 12;35(8):4857-4864. Epub 2021 Mar 12.

Division of Head and Neck Surgery, Department of Surgery, University of California San Diego, San Diego, CA, USA.

Background: We investigated a novel minimally invasive surgical platform for use in the oropharynx, hypopharynx, and larynx for single-port transoral surgery used in concert with standard transoral laryngeal and pharyngeal instrumentation.

Methods: The preclinical investigational device by Fortimedix Surgical B.V. Read More

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Flexible endoscopic treatment for Zenker's diverticulum: from the lumen to the third space.

Ann Gastroenterol 2021 16;34(2):149-154. Epub 2021 Jan 16.

Endoscopy Unit, Humanitas Clinical and Research Center -IRCCS-, Rozzano, Italy (Roberta Maselli, Marco Spadaccini, Edoardo Vespa, Milena Di Leo, Alessandro Fugazza, Gaia Pellegatta, Piera Alessia Galtieri, Elisa Chiara Ferrara, Andrea Anderloni, Silvia Carrara, Alessandro Repici).

Zenker's diverticulum (ZD) is a rare outpouching of the esophageal mucosa herniating posteriorly through Killian's triangle. Treatments of ZD aim to dissect the cricopharyngeal muscle to remove the underlying dysfunctional condition. In the last decade, a septotomy performed utilizing a flexible endoscope has been reported as a safe and effective alternative to both open surgery and rigid endoscopic diverticulotomy. Read More

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January 2021

Pharyngeal Pouch Surgery in Octo- and Nonagenarians is Safe and Effective: A Multicentre Comparative Cohort Study.

World J Surg 2021 06 19;45(6):1819-1827. Epub 2021 Feb 19.

Oesophagogastric Surgery Unit, Flinders Medical Centre, Flinders Drive, Bedford Park, SA, 5042, Australia.

Background: Surgery is the only effective treatment strategy for a symptomatic pharyngeal pouch. However, octo- and nonagenarians are often denied referral to a surgeon because of perceived increased risks. Here, we compare the outcomes of pharyngeal pouch surgery in octo- and nonagenarians with patients under 80 years-of-age and determine the factors which predict post-operative complications and improvement in swallowing. Read More

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Cricopharyngeal Myotomy in Inclusion Body Myositis: Comparison of Endoscopic and Transcervical Approaches.

Laryngoscope 2021 08 12;131(8):E2426-E2431. Epub 2021 Feb 12.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota, U.S.A.

Objective: Inclusion body myositis (IBM) is a progressive inflammatory myopathy with dysphagia as a debilitating sequalae. Otolaryngologists are consulted for surgical candidacy when there are findings of cricopharyngeal dysfunction. We aim to compare transcervical cricopharyngeal myotomy (TCPM) versus endoscopic cricopharyngeal myotomy (ECPM) in the IBM population with particular focus on objective swallow study outcomes, complications, and recurrence rates. Read More

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More prominent fibrosis of the cricopharyngeal muscle in inclusion body myositis.

J Neurol Sci 2021 Mar 23;422:117327. Epub 2021 Jan 23.

Department of Neurology, National Center Hospital, National Center of Neurology and Psychiatry, Japan.

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Comparison of Surgical Treatments for Zenker Diverticulum: A Systematic Review and Network Meta-analysis.

JAMA Otolaryngol Head Neck Surg 2021 02;147(2):190-196

Department of Otolaryngology-Head and Neck Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri.

Importance: Zenker diverticulum (ZD) can cause significant dysphagia, and symptoms can return or persist after surgery. This systematic review and network meta-analysis is the first to our knowledge to compare 3 common surgical techniques for ZD.

Objective: To compare the 3 most common surgical techniques-endoscopic laser-assisted diverticulotomy, endoscopic stapler-assisted diverticulotomy, and transcervical diverticulectomy with cricopharyngeal myotomy-in adult patients with ZD. Read More

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February 2021

The applicability of high resolution manometry in total laryngectomy.

Codas 2020 20;32(6):e20190006. Epub 2020 Nov 20.

Escola Paulista de Medicina - Universidade Federal de São Paulo, São Paulo (SP), Brasil.

Purpose: This study aims to measure the pressure of the pharynx and the pharyngoesophageal segment (PES) at rest and during phonation in total laryngectomized patients, with different levels of voice production.

Methods: four total laryngectomized individuals participated in the study, All patients underwent High Resolution Manometry (MAR) at rest and during phonation. After this process, a descriptive analysis of the results was performed. Read More

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November 2020

Combined Anterior Osteophytectomy and Cricopharyngeal Myotomy for Treatment of DISH-Associated Dysphagia.

Global Spine J 2022 Jun 18;12(5):877-882. Epub 2020 Nov 18.

Thomas Jefferson University, Philadelphia, PA, USA.

Study Design: Retrospective observational case series.

Objective: To assess the outcome of patients with diffuse idiopathic skeletal hyperostosis (DISH) with dysphagia who underwent cricopharyngeal myotomy (CPM) in conjunction with anterior osteophytectomy (OP).

Methods: This is a retrospective observational study of 9 patients that received combined intervention by neurosurgeons and otolaryngologists. Read More

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A novel Killian-Jamieson diverticulectomy using a thyroid gland flap: a case report.

Surg Case Rep 2020 Nov 10;6(1):283. Epub 2020 Nov 10.

Department of Gastroenterological Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.

Background: A Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum that is radically treated by diverticulectomy. However, there is no consensus on whether cricopharyngeal myotomy is necessary, and the optimal surgical methods that prevent postoperative complications such as leakage are undetermined.

Case Presentation: A 49-year-old man was referred to our hospital with oropharyngeal dysphagia while eating. Read More

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November 2020

Per Oral Zenker Diverticulotomy.

Surg Clin North Am 2020 Dec 10;100(6):1215-1226. Epub 2020 Oct 10.

Department of Surgery, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA.

Zenker diverticulum (ZD) is a rare but treatable surgical disease affecting the elderly. This article reviews current available evidence and management of ZD, which includes open surgical, rigid endoscopic, and flexible endoscopic diverticulotomy with common goal of complete division of cricopharyngeus muscle. Careful patient selection and operative intervention tailored to patient characteristics is important when evaluating patients for operative intervention for ZD. Read More

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December 2020

Surgical management of recurrent Zenker's diverticulum: A multi-institutional cohort study.

Am J Otolaryngol 2021 Jan - Feb;42(1):102755. Epub 2020 Oct 17.

UCI Health Voice and Swallowing Center, Department of Otolaryngology Head and Neck Surgery, University of California Irvine School of Medicine, CA, United States of America. Electronic address:

Objective: This study identifies how recurrent Zenker's diverticula are treated.

Methods: A retrospective chart review was performed from four tertiary referral academic voice and swallowing centers to identify individuals who underwent surgery for recurrent Zenker's diverticulum. Demographic data, surgical modalities for primary and revision surgery, symptoms pre and post revision and complications were recorded. Read More

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