497 results match your criteria Cricopharyngeal Myotomy


Feasibility of Early Discharge after Open Hypopharyngeal Surgery for Dysphagia.

Ann Otol Rhinol Laryngol 2020 May 14:3489420916216. Epub 2020 May 14.

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

Objective: To determine the rate of surgical complications, unplanned readmission, and functional status after open hypopharyngeal surgery for dysphagia with early return to oral diet and hospital discharge.

Methods: Retrospective chart review of patients who underwent open hypopharyngeal surgery for management of dysphagia from March 2013 to June 2018 at a single academic institution. A clear liquid diet is restarted the day of surgery and is advanced to a soft diet on postoperative day one. Read More

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http://dx.doi.org/10.1177/0003489420916216DOI Listing

Bar None: A Rare Cause of Oropharyngeal Dysphagia.

Dig Dis Sci 2020 Jun;65(6):1656-1660

Divisions of Gastroenterology and Hepatology, Department of Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.

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http://dx.doi.org/10.1007/s10620-020-06274-7DOI Listing

Partial Cricopharyngeal Myotomy for Treatment of Retrograde Cricopharyngeal Dysfunction.

OTO Open 2020 Apr-Jun;4(2):2473974X20917644. Epub 2020 Apr 16.

Bastian Voice Institute, Downers Grove, Illinois, USA.

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http://dx.doi.org/10.1177/2473974X20917644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7163242PMC

Peroral endoscopic septotomy for short-septum Zenker's diverticulum.

Endoscopy 2020 Mar 17. Epub 2020 Mar 17.

Department of Gastroenterology, Digestive Endoscopy Unit, Humanitas Clinical and Research Center, Rozzano, Italy.

Background:  Treatments of Zenker's diverticulum aim to dissect the cricopharyngeal muscle, removing the underlying source of dysfunction. This is difficult in patients with a short-septum (≤ 20 mm) diverticulum because the limited anatomical space restricts the operating area for either rigid or flexible endoscopic approaches. The aim of this study was to investigate the efficacy and safety of a novel third-space approach, peroral endoscopic septotomy (POES), for treating symptomatic patients with short-septum Zenker's diverticulum. Read More

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http://dx.doi.org/10.1055/a-1127-3304DOI Listing

The Role of Cricopharyngeal Myotomy After Anterior Cervical Decompression and Fusion Operations.

World Neurosurg 2020 May 7;137:146-148. Epub 2020 Feb 7.

Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

Background: Anterior cervical spine surgeries have low morbidity, sufficient surgical corridor, and quick recovery times. Although largely considered a safe and effective procedure to address cervical myelopathy, radiculopathy, and deformity, dysphagia is a frequent yet poorly understood adverse event. One treatment is cricopharyngeal myotomy (CPM), which aids in swallowing for patients with refractory issues after anterior cervical decompression and fusion (ACDF). Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.180DOI Listing

Modified external approach to the pediatric cricopharyngeal myotomy: A case series.

Int J Pediatr Otorhinolaryngol 2020 Jan 24;132:109899. Epub 2020 Jan 24.

Massachusetts Eye and Ear Infirmary, Department of Otolaryngology Head and Neck Surgery, Boston, MA, USA. Electronic address:

Objective: To assess the success of a modified approach to external pediatric cricopharyngeal myotomy in children with inappropriate upper esophageal sphincter relaxation as determined by video fluoroscopic swallow study (VFSS) and pediatric manometry findings.

Methods: This is a case series in which hospital records of all patients who underwent a modified external approach to pediatric cricopharyngeal myotomy 2017 to 2019 were reviewed at a single institution. The primary outcome measure was post-operative diet and presence of aspiration/penetration on post-operative VFSS. Read More

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http://dx.doi.org/10.1016/j.ijporl.2020.109899DOI Listing
January 2020

Speech and swallowing outcomes after laryngectomy for the dysfunctional irradiated larynx.

Eur Arch Otorhinolaryngol 2020 May 27;277(5):1459-1465. Epub 2020 Jan 27.

Department of Otolaryngology, Head and Neck Surgery, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109-5312, USA.

Purpose: To characterize outcomes of total laryngectomy for the dysfunctional larynx after radiation.

Methods: Retrospective case series of all subjects who underwent total laryngectomy for the irradiated dysfunctional larynx between 2000 and 2018 at an NCI-designated comprehensive cancer center at a single tertiary care academic medical center. Main outcomes included enteral tube feeding dependency, functional tracheoesophageal speech, and number and timing of postoperative pharyngeal dilations. Read More

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http://dx.doi.org/10.1007/s00405-020-05809-yDOI Listing

Surgery for Killian-Jamieson diverticulum: a report of two cases.

Surg Case Rep 2020 Jan 13;6(1):17. Epub 2020 Jan 13.

Department of Surgery, Kurume University School of Medicine, 67, Asahimachi, Kurume City, Fukuoka Prefecture, 830-0011, Japan.

Background: Killian-Jamieson diverticulum (KJD) is a rare diverticulum arising from a muscular gap in the anterolateral wall of the proximal cervical esophagus. The first choice of treatment for KJD remains controversial due to its rare incidence. Here, we report two cases of KJD for which we performed different surgery: diverticulectomy in one case and diverticulopexy in the other. Read More

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http://dx.doi.org/10.1186/s40792-020-0789-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957605PMC
January 2020

Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery - case report.

Authors:
An Sung Ka-Wo Lee

BMC Surg 2020 Jan 8;20(1). Epub 2020 Jan 8.

Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.

Background: Head and neck surgeries can perturb normal structures of neck muscles and nerve innervations, which are supposed to function in harmony to allow complicated process like swallowing. It is still likely that cricopharyngal dysfunction emerges years after the head and neck surgeries.

Case Presentation: We report a case with history of left unilateral vocal cord immobility and development of dysphagia and aspiration 2 years after radical thyroidectomy with neck lymph nodes dissection and medialization thyroplasty. Read More

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http://dx.doi.org/10.1186/s12893-019-0667-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6951019PMC
January 2020

Presentation and Management of Killian Jamieson Diverticulum: A Comprehensive Literature Review.

Ann Otol Rhinol Laryngol 2020 Apr 9;129(4):394-400. Epub 2019 Nov 9.

Department of Otolaryngology/Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA.

Objective: To examine the clinical presentation, diagnostic evaluation, and management of Killian-Jamieson diverticula (KJD) through literature review.

Methods: A comprehensive literature review was conducted through December 2018 using keywords Killian-Jamieson diverticula/diverticulum. Data extracted included clinical presentation, imaging characteristics, surgical management, and postoperative care. Read More

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http://dx.doi.org/10.1177/0003489419887403DOI Listing

Endoscopic treatment of Zenker's diverticulum using a new triangle tip knife.

Ann Gastroenterol 2019 Nov-Dec;32(6):650-653. Epub 2019 Jun 17.

Gastroenterology Department, Asian Institute of Gastroenterology, Hyderabad, India.

Background: Zenker's diverticulum (ZD) is a rare disease that affects elderly subjects. The mainstay of management is endoscopic myotomy of the cricopharyngeal septum. In this series, we aimed to evaluate the feasibility and efficacy of cricopharyngeal myotomy with a new electrosurgical knife in patients with ZD. Read More

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http://dx.doi.org/10.20524/aog.2019.0393DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826068PMC

Successful Surgical Treatment for Dysphagia Secondary to Descending Necrotizing Mediastinitis.

Yonago Acta Med 2019 Sep 20;62(3):253-257. Epub 2019 Jul 20.

Division of Otolaryngology, Head and Neck Surgery, Department of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine, Yonago 683-8504, Japan.

Descending necrotizing mediastinitis (DNM) is a life-threatening disease with a high fatality rate that occurs as a complication of deep neck abscess. DNM complicated by severe dysphagia during the postoperative period has been previously reported, but there have been no published cases of surgical treatment for severe dysphagia secondary to DNM. A 63-year-old man was diagnosed with a deep neck abscess followed by DNM. Read More

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http://dx.doi.org/10.33160/yam.2019.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6739249PMC
September 2019
1 Read

Surgical Intervention for Laimer's Diverticulum, a Rare Type of Pharyngoesophageal Diverticulum: A Case Report.

OTO Open 2019 Apr-Jun;3(2):2473974X19847670. Epub 2019 May 13.

Division of Surgery, Tohoku University Hospital, Sendai, Miyagi, Japan.

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http://dx.doi.org/10.1177/2473974X19847670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6737866PMC
May 2019
1 Read

Established PABPN1 intranuclear inclusions in OPMD muscle can be efficiently reversed by AAV-mediated knockdown and replacement of mutant expanded PABPN1.

Hum Mol Genet 2019 10;28(19):3301-3308

Centres of Gene and Cell Therapy and Biomedical Sciences, School of Biological Sciences, Royal Holloway, University of London, Egham TW20 0EX, Surrey, UK.

Oculopharyngeal muscular dystrophy (OPMD) is a rare autosomal dominant late-onset muscular dystrophy affecting approximately 1:100 000 individuals in Europe. OPMD is mainly characterized by progressive eyelid drooping (ptosis) and dysphagia although muscles of the limbs can also be affected late in life. This muscle disease is due to a trinucleotide repeat expansion in the polyA-binding protein nuclear-1 gene. Read More

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http://dx.doi.org/10.1093/hmg/ddz167DOI Listing
October 2019
8 Reads

Quality of Life in Treating Persistent Neurogenic Dysphagia with Cricopharyngeal Myotomy.

Dysphagia 2020 Apr 1;35(2):314-320. Epub 2019 Jul 1.

Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Shuaifuyuan 1, Dongcheng District, Beijing, 100730, People's Republic of China.

Neurological impairment is an important cause of dysphagia. This study analyzed whether quality of life (QoL) is improved after coblation-assisted endoscopic cricopharyngeal myotomy (CAECPM) for patients with persistent neurological dysphagia who meet the criteria by using the Chinese version of the Swallow Quality-of-Life Questionnaire (CSWAL-QOL). 22 patients with dysphagia for more than 6 months after stroke or lateral skull base surgery were screened. Read More

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http://dx.doi.org/10.1007/s00455-019-10032-xDOI Listing
April 2020
12 Reads

Successive complications after anterior cervical fixation: pharyngoesophageal diverticulum, fistulization, and cervical spondylitis by Streptococcus milleri - case report and literature review.

J Med Case Rep 2019 Apr 30;13(1):129. Epub 2019 Apr 30.

Neurosurgey, Hospital Medica Sur, Mexico City, Mexico.

Introduction: Pharyngoesophageal diverticulum is an uncommon complication after anterior cervical discectomy and fusion surgery.

Case Presentation: Our patient was a 48-year-old woman with two previous cervical surgeries with fixation of C4-C5 and C5-C6, the last one in 2003. Two years after surgery, she presented with arthralgia, arthritis, chills, and fluctuating rash. Read More

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http://dx.doi.org/10.1186/s13256-019-2037-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489233PMC
April 2019
12 Reads

Adverse Events after Rigid and Flexible Endoscopic Repair of Zenker's Diverticula: A Systematic Review and Meta-analysis.

Otolaryngol Head Neck Surg 2019 09 23;161(3):388-400. Epub 2019 Apr 23.

12 San Diego Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego, California, USA.

Objective: To determine adverse events after endoscopic flexible vs endoscopic rigid cricopharyngeal myotomy for treatment of Zenker's diverticulum (ZD).

Data Sources: Systematic review of MEDLINE, Web of Science, CINAHL, Clinicaltrials.gov, and Cochrane Central Register of Controlled Trials for all years according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Read More

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http://dx.doi.org/10.1177/0194599819839991DOI Listing
September 2019
29 Reads

Endoscopic Management of Postradiation Dysphagia in Head and Neck Cancer Patients: A Systematic Review.

Ann Otol Rhinol Laryngol 2019 Aug 21;128(8):767-773. Epub 2019 Mar 21.

1 Department of Otolaryngology-Head and Neck Surgery, Stanford University-School of Medicine, Stanford, CA, USA.

Objectives: To systematically review the success rate and safety profile of the available endoscopic surgical options for radiation-induced dysphagia in head and neck cancer patients following organ preservation treatment, including upper esophageal sphincter (UES) dilation, cricopharyngeus (CP) myotomy (CPM), and CP intramuscular botulinum toxin (Botox) injection.

Methods: A search of MEDLINE, Scopus, Google Scholar, and Cochrane databases was done to identify articles published between January 1980 and December 2017. Pediatric series, foreign language articles, series with Zenker's diverticulum or following primary surgical treatment including laryngectomy, open UES/CP surgery, or samples with fewer than 5 patients were excluded. Read More

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http://dx.doi.org/10.1177/0003489419837565DOI Listing
August 2019
15 Reads

Management of Zenker's diverticulum using flexible endoscopy.

VideoGIE 2019 Feb 30;4(2):87-90. Epub 2019 Jan 30.

Department of Surgery, St George Hospital, Sydney, New South Wales, Australia.

Background And Aims: Zenker's diverticulum is a false diverticulum through Killian's dehiscence. Symptoms include halitosis, dysphagia, regurgitation, cough, and aspiration pneumonia. Treatment options include open transcervical cricopharyngeal myotomy, trans-oral rigid endoscopic stapling, and minimally invasive endoscopic myotomy. Read More

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http://dx.doi.org/10.1016/j.vgie.2018.12.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363821PMC
February 2019
26 Reads

Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy.

J Laryngol Otol 2018 Dec;132(12):1128-1133

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

Background: In endoscopic cricopharyngeal myotomy, surgeons sometimes have concerns about performing an adequate incision with only a narrow intra-cavital view from one direction. In order to overcome these issues, fluoroscopic radiography was used during endoscopic cricopharyngeal myotomy.

Methods: Peri-operative fluoroscopic radiography was utilised to check the position of the diverticuloscope, and to confirm the extent of the incision during surgery. Read More

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http://dx.doi.org/10.1017/S0022215118002232DOI Listing
December 2018
31 Reads

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
25 Reads

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

Turk Thorac J 2018 10 19;19(4):228-230. 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
October 2018
34 Reads

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

Gastrointest Endosc 2019 04 17;89(4):880-886. 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
April 2019
11 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
35 Reads

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

Clin Neurol Neurosurg 2018 10 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
6 Reads

[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
March 2019
13 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
13 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
10 Reads

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
8 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
17 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
10 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
48 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
9 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
14 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
16 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
6 Reads

National trends in primary tracheoesophageal puncture after total laryngectomy.

Laryngoscope 2018 10 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
10 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
11 Reads

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
5 Reads

[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
5 Reads

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
13 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
27 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
27 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
23 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
59 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
42 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
12 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
18 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
12 Reads

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
10 Reads