RT Journal Article
SR Electronic
T1 Cricopharyngeal myotomy in neurogenic oropharyngeal dysphagia
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 105
OP 109
VO 5
IS 2
A1 Damati, Mohammed T.
A1 Saadah, Mohammed A.
A1 Al-Natour, Saied M.
A1 Nazzal, Mahmoud M.
A1 AlHaj Ali, Mohammed A.
A1 Inshasi, Jihad S.
YR 2000
UL http://nsj.org.sa/content/5/2/105.abstract
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.