533 results match your criteria Cricopharyngeal Myotomy


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

Laryngoscope 2021 May 10. 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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Right-sided Zenker's diverticulum resected using intraoperative neuromonitoring.

Clin J Gastroenterol 2021 Apr 4. 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 Jun 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 Mar 12. 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 Jun 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 Feb 12. 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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February 2021

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 2020 Nov 18:2192568220967358. 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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November 2020

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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Experience and Technique for Zenker's Diverticulum Per Oral Endoscopic Myotomy: Z-POEM.

Thorac Cardiovasc Surg 2021 04 21;69(3):228-230. Epub 2020 Oct 21.

Center for Esophageal Diseases, Baylor University Medical Center at Dallas, Dallas, Texas, United States.

Objective: With the advent of minimally invasive surgery, incisionless surgery, and third-space endoscopy, the treatment for Zenker's diverticulum has also moved toward less invasive techniques METHODS:  New incisionless per oral techniques can be applied for cricopharyngeal myotomy in Zenker's diverticulum.

Results: Five patients underwent Zenker's diverticulum per oral endoscopic myotomy (Z-POEM) without complications, minimal discomfort, and narcotic consumption, with complete resolution of their symptoms by history and Eckardt scores.

Conclusions: Z-POEM is performed entirely endoscopically with very little associated pain or complication rates, with short-term follow-up having excellent functional and symptomatic results. Read More

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Peroral Endoscopic Diverticulotomy (POED) for Zenker Diverticulum Using Submucosal Injection to Perform a Complete Myotomy.

Surg Laparosc Endosc Percutan Tech 2020 Oct;30(5):e30-e32

Digestive and Interventional Endoscopy Unit.

Endoscopic diverticulotomy associated with cricopharyngeal myotomy is a well-known and safe treatment for Zenker diverticulum. We describe our first 5 consecutive cases treated by a new variant of the technique that allows a deeper and longer myotomy than the standard one. Technical success was achieved in all the cases. Read More

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October 2020

Early Adverse Events Following Transcervical Hypopharyngeal Diverticulum Surgery.

Ann Otol Rhinol Laryngol 2021 May 1;130(5):497-503. Epub 2020 Oct 1.

Department of Otolaryngology-Head and Neck Surgery, University of California Irvine, Orange, CA, USA.

Objective: To describe rates of short-term morbidity following transcervical surgical treatment of hypopharyngeal diverticulum (HD) and analyze predictors of adverse events.

Methods: The 2005 to 2017 National Surgical Quality Improvement Program database was queried to identify patients diagnosed with HD undergoing open transcervical diverticulectomy.

Results: A total of 597 patients with a mean age of 71. Read More

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Swallowing Outcomes in 7 Patients Following Endoscopic Cricopharyngeal Myotomy With Primary Closure.

Ear Nose Throat J 2020 Sep 24:145561320959569. Epub 2020 Sep 24.

Department of ENT, 129367Charing Cross Hospital, Imperial College Healthcare, London, United Kingdom.

Cricopharyngeal spasm and pharyngeal pouch can result in severe dysphagia symptoms that can have a significant impact on a patient's quality of life. Several surgical interventions have been demonstrated including balloon dilatation, botox injection, and open and endoscopic cricopharyngeal myotomy. The aim of this case series is to describe our technique for endoscopic cricopharyngeal myotomy and compare pre- and postoperative swallowing outcomes using objective swallowing questionnaires in a small series of patients. Read More

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September 2020

Endoscopic stapling versus laser for Zenker diverticulum: a retrospective cohort study.

Eur Arch Otorhinolaryngol 2020 Sep 7. Epub 2020 Sep 7.

Division of General and Foregut Surgery, IRCCS Policlinico San Donato, University of Milan, Piazza Malan 1, 20097, San Donato Milanese, Milan, Italy.

Purpose: Despite the evolution of the endoscopic techniques for the treatment of symptomatic Zenker diverticulum, comparative studies are lacking. Aim of this observational study was to compare safety, efficacy, and outcomes of endoscopic stapling (ES) versus Laser (EL).

Methods: A prospectively collected database of patients who underwent treatment for Zenker diverticulum at a single institution was reviewed. Read More

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September 2020

Peroral endoscopic myotomy for cricopharyngeal bar.

VideoGIE 2020 Aug 9;5(8):378-379. Epub 2020 Jun 9.

Division of Gastroenterology & Hepatology, Medical University of South Carolina, Charleston, South Carolina.

Background And Aims: Definitive treatment options for refractory dysphagia due to cricopharyngeal bar are limited. We aimed to demonstrate a novel adaptation of peroral endoscopic myotomy to treat this condition (cricopharyngeal peroral endoscopic myotomy [c-POEM]).

Methods: The approach to c-POEM is similar to that in the distal esophagus for the treatment of achalasia. Read More

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Cricopharyngeal myotomy for cricopharyngeus muscle dysfunction after esophagectomy.

Surg Case Rep 2020 Aug 12;6(1):205. Epub 2020 Aug 12.

Department of Surgery, National Hospital Organization Nagasaki Medical Center, Kubara 2-1001-1, Ohmura, Nagasaki, 8568562, Japan.

Background: Pharyngoesophageal dysphagia sometimes develops after esophagectomy. However, severe dysphagia after esophagectomy due to cricopharyngeus muscle dysfunction is a rare complication. There are no recommended clinical treatments for cricopharyngeus muscle dysfunction after esophagectomy. Read More

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Zenker diverticulum treatment: retrospective comparison of flexible endoscopic window technique and surgical approaches.

Surg Endosc 2020 Aug 11. Epub 2020 Aug 11.

Gastroenterology and Endoscopy Unit, Hospices Civils de Lyon, Hôpital E.Herriot, Lyon, France.

Introduction: Different treatments exist for Zenker diverticulum. We compared flexible endoscopic myotomy of the cricopharyngeal muscle, using a technique called the "window technique" in order to improve the field of view, to surgical approaches.

Materials And Methods: Patients were retrospectively included and divided into a gastrointestinal group, with flexible endoscopic myotomy, and an ear-nose-throat treatments group with either rigid endoscopic treatment, either cervicotomy. Read More

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Endoscopic observation of the palisade vessels in Killian-Jamieson diverticulum was useful for diagnosis and surgical treatment: a case report.

Surg Case Rep 2020 Aug 3;6(1):192. Epub 2020 Aug 3.

Department of Surgery, Upper Gastrointestinal Division, Hyogo College of Medicine, 1-1 Mukogawa-Cho, Nishinomiya City, Hyogo, 663-8501, Japan.

Background: Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum that arises below the cricopharyngeus muscle. Unlike the most common Zenker's diverticulum, which requires cricopharyngeal and esophageal myotomy, diverticulectomy is sufficient for surgical treatment of Killian-Jamieson diverticulum. Thus, accurate preoperative diagnosis is indispensable for avoiding unnecessarily invasive surgery. Read More

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Endoscopic mucosal incision and muscle interruption (MIMI) for the treatment of Zenker's diverticulum.

Surg Endosc 2020 Aug 6. Epub 2020 Aug 6.

Cleveland Clinic, 9500 Euclid Ave Mail Code H18, Cleveland, OH, 44195-0001, USA.

Background: In peroral endoscopic myotomy for Zenker's diverticulum (Z-POEM), the cricopharyngeus muscle is divided within a submucosal tunnel started in the hypopharynx. We aimed to evaluate the safety and preliminary outcomes in patients who underwent a modified version of the Z-POEM where the tunnel is made directly overlying the cricopharyngeus, the mucosal incision and muscular interruption (MIMI) approach, and to compare these with patients who underwent a non-tunneled flexible endoscopic approach.

Methods: All patients with ZD who were treated by flexible endoscopy at our institution between January 2015 and February 2020 were identified by a retrospective chart review. Read More

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Zenkers diverticulum - effectiveness of endoscopic therapy.

Rozhl Chir 2020 ;99(6):244-248

Zenkers diverticulum is the most common type of esophageal diverticulum with a prevalence of 0.01 to 0.11 %, usually found in middle-aged and older patients. Read More

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September 2020

Dysphagia in Lateral Medullary Syndrome: A Narrative Review.

Dysphagia 2020 Jul 11. Epub 2020 Jul 11.

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, 317-1, Daemyung dong, Namgu, Daegu, 705-717, Republic of Korea.

Dysphagia is a common clinical feature of lateral medullary syndrome (LMS) and is clinically relevant because it is related to aspiration pneumonia, malnutrition, increased mortality, and prolonged hospital stay. Herein, the pathophysiology, prognosis, and treatment of dysphagia in LMS are reviewed. The pathophysiology, prognosis, and treatment of dysphagia in LMS are closely interconnected. Read More

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