PT  - JOURNAL ARTICLE
AU  - Damati, Mohammed T.
AU  - Saadah, Mohammed A.
AU  - Al-Natour, Saied M.
AU  - Nazzal, Mahmoud M.
AU  - AlHaj Ali, Mohammed A.
AU  - Inshasi, Jihad S.
TI  - Cricopharyngeal myotomy in neurogenic oropharyngeal dysphagia
DP  - 2000 Apr 01
TA  - Neurosciences Journal
PG  - 105--109
VI  - 5
IP  - 2
4099  - http://nsj.org.sa/content/5/2/105.short
4100  - http://nsj.org.sa/content/5/2/105.full
SO  - Neurosciences (Riyadh)2000 Apr 01; 5
AB  - OBJECTIVE: Cricopharyngeal myotomy as an independent procedure has been performed on fourteen patients with a variety of neuromuscular disorders, suffering from neurogenic oropharyngeal dysphagia in the interval between 1994-1997. All of them were referred from a neurophysician or physiatrist after failure of improvement by medical treatment.METHODS: The selection of patients for operation was based mainly on clinical evaluation and simple exclusion criteria without manometric studies.RESULTS: There was dramatic improvement in twelve, with recurrent laryngeal nerve palsy and temporary pharyngeal fistula in two patients. No mortality was recorded.CONCLUSION: We conclude that cricopharyngeal myotomy is a simple, safe and effective procedure with acceptable morbidity. It should be considered as a rehabiliation procedure for patients with dysphagia due to various neurologic disorders based on simple, clinical exclusion criteria without the need for the tedious, time consuming and expensive manometric studies.