Abstract
Cricopharyngeal myotomy has gained widespread acceptance as surgical treatment for various forms of cervical dysphagia. The case records of 33 patients who underwent cricopharyngeal myotomy for dysphagia originating from varying underlying diseases are reviewed. The majority of these patients were able to resume oral feeding following myotomy. Analysis of preoperative pharyngoesophageal manometry and contrast radiography identified diagnostic criteria for appropriate case selection.
Get full access to this article
View all access options for this article.
References
1.
.
Valsalva AM
: de Aure Human a Tractacus … Quibus interposita est Musculorum uvulae atque pharyngis . Utrecht 1717 .
2.
.
Killian G
: The mouth of the esophagus . Laryngoscope 1907 ; 17 : 421 –428 .
3.
.
Roed-Petersen K
: Manometric investigations of the pharyngoesophageal sphincter . Dan Med Bull 1979 ; 26 : 282 –287 .
4.
.
Berlin BP
Tedesco F
Fierstein JT
: Manometric studies of the upper esophageal sphincter . Ann Otol Rhinol Laryngol 1977 ; 86 : 598 –602 .
5.
.
Rogers L
: The treatment of spasmodic dysphagia by sympathetic denervation . Br J Surg 1935 ; 22 : 829 –832 .
6.
.
Kirchner JA
: The motor activity of the cricopharyngeus muscle . Laryngoscope 1958 ; 68 : 1119 –1159 .
7.
.
Hurwitz AL
Duranceau A
: Upper-esophageal sphincter dysfunction: Pathogenesis and treatment . Dig Dis Sci 1978 ; 23 : 275 –281 .
8.
.
Henderson RD
Woolf C
Marryatt G
: Pharyngoesophageal dysphagia and gastroesophageal reflux . Laryngoscope 1976 ; 86 : 1531 –1539 .
9.
.
Henderson RD
Marryatt G
: Cricopharyngeal myotomy as a method of treating cricopharyngeal dysphagia secondary to gastroesophageal reflux . J Thorac Cardiovasc Surg 1977 ; 74 : 721 –725 .
10.
.
Jackson C
Shallow TA
: Diverticula of the oesophagus, pulsion, traction, malignant and congenital . Ann Surg 1926 ; 83 : 1 –19 .
11.
.
Negus VE
: The etiology of pharyngeal diverticula . Bull J Hopkins Hosp 1957 ; 101 : 209 –223 .
12.
.
Lahey FH
: Pharyngo-esophageal diverticulum: Its management and complications . Ann Surg 1946 ; 124 : 617 –636 .
13.
.
Asherson N
: Achalasia of the cricopharyngeal sphincter: Record of cases, with profile pharyngograms . J Laryngol Otol 1950 ; 64 : 747 –749 .
14.
.
Asherson N
: Achalasia of the cricopharyngeal sphincter . J Laryngol Otol 1950 ; 64 : 749 –758 .
15.
.
Sutherland HD
: Cricopharyngeal achalasia . J Thorac Cardiovasc Surg 1962 ; 43 : 114 –126 .
16.
.
Mills CP
: Dysphagia in pharyngeal paralysis treated by cricopharyngeal sphincterotomy . Lancet 1973 ; 1 : 455 –457 .
17.
.
Lebo CP
Sang K
Norris FH Jr
: Cricopharyngeal myotomy in amyotrophic lateral sclerosis . Laryngoscope 1976 ; 86 : 862 –868 .
18.
.
Mladick RA
Horton CE
Adamson JE
: Cricopharyngeal myotomy . Arch Surg 1971 ; 102 : 1 –5 .
19.
.
Ellis HF
Schlegel JF
Lynch VP
: Cricopharyngeal myotomy for pharyngo-esophageal diverticulum . Ann Surg 1969 ; 170 : 340 –349 .
20.
.
Helsper JT
Lance JS
Baldridge ET
: Cricopharyngeal achalasia . Am J Surg 1974 ; 128 : 521 –526 .
21.
.
Akl BF
Blakeley WR
: Late assessment of results of cricopharyngeal myotomy for cervical dysphagia . Am J Surg 1974 ; 128 : 818 –822 .
22.
.
Hiebert CA
: Surgery for cricopharyngeal dysfunction under local anesthesia . Am J Surg 1976 ; 131 : 423 –427 .
23.
.
Calcaterra TC
Kadell BM
Ward PH
: Dysphagia secondary to cricopharyngeal muscle dysfunction: Surgical management . Arch Otolaryngol 1975 ; 101 : 726 –729 .
24.
.
Crichlow TVL
: The cricopharyngeus in radiography and cine radiography . Br J Radiol 1956 ; 29 : 546 –556 .
25.
.
Seaman WB
: Cineroentgenographic observations of the cricopharyngeus . Am J Roent Radium Sher Nucl Med 1966 ; 96 : 922 –931 .
26.
.
Mitchell RL
Armanini GB
: Cricopharyngeal myotomy: Treatment of dysphagia . Ann Surg 1975 ; 181 : 262 –266 .
27.
.
Hurwitz AL
Nelson JA
Haddad JK
: Oropharyngeal dysphagia: Manometric and cineesophography findings . Dig Dis Sci 1975 ; 20 : 313 –324 .
28.
.
Welch RW
Luckmann K
Ricks PM
: Manometry of the normal upper esophageal sphincter and its alterations in laryngectomy . J Clin Invest 1979 ; 63 : 1036 –1041 .
29.
.
Arndorfer RC
Stef JJ
Dodds WJ
: Improved infusion system for intraluminal esophageal manometry . Gastroenterology 1977 ; 73 : 23 –27 .
30.
.
Gerhardt DC
Shuck TJ
Bordeau RA
: Human upper esophageal sphincter: Response to volume, osmotic, and acid stimuli . Gastroenterology 1978 ; 75 : 268 –274 .
31.
.
Gerhardt D
Hewett J
Moeschberger M
: Human upper esophageal sphincter pressure profile . Am J Physiol 1980 ; 239 :G49 –G52 .
32.
.
Dodds WJ
: Instrumentation and methods for intraluminal esophageal manometry . Arch Intern Med 1976 ; 136 : 515 –523 .