TY - JOUR
T1 - Cricopharyngeal myotomy for primary cricopharyngeal dysfunction caused by a structural abnormality localized in the cricopharyngeus muscle
T2 - Report of a case
AU - Suda, Koichi
AU - Takeuchi, Hiroya
AU - Seki, Hiroaki
AU - Yoshizu, Akira
AU - Yasui, Nobutaka
AU - Matsumoto, Hidetoshi
AU - Shimada, Akihiko
AU - Ishikawa, Hiroki
AU - Kitagawa, Yuko
PY - 2011/9
Y1 - 2011/9
N2 - Primary cricopharyngeal dysfunction (PCD) is a rare idiopathic disorder of the upper esophageal sphincter (UES), characterized by oropharyngeal dysphagia, frequent aspiration, and narrowing at the level of the UES. Cricopharyngeal myotomy (CPM) has been used to treat oropharyngeal dysphagia of different causes including anatomic, neuromuscular, iatrogenic, inflammatory, neoplastic, and idiopathic; however, the indications for CPM and predictors of its outcome are not clearly defined. We report a case of PCD with hypertonic UES caused by a structural abnormality localized in the cricopharyngeus muscle, visualized as a cricopharyngeal bar, which we treated successfully by CPM, achieving long-term relief.
AB - Primary cricopharyngeal dysfunction (PCD) is a rare idiopathic disorder of the upper esophageal sphincter (UES), characterized by oropharyngeal dysphagia, frequent aspiration, and narrowing at the level of the UES. Cricopharyngeal myotomy (CPM) has been used to treat oropharyngeal dysphagia of different causes including anatomic, neuromuscular, iatrogenic, inflammatory, neoplastic, and idiopathic; however, the indications for CPM and predictors of its outcome are not clearly defined. We report a case of PCD with hypertonic UES caused by a structural abnormality localized in the cricopharyngeus muscle, visualized as a cricopharyngeal bar, which we treated successfully by CPM, achieving long-term relief.
KW - Cricopharyngeal bar
KW - Cricopharyngeal myotomy
KW - Cricopharyngeus muscle
KW - Primary cricopharyngeal dysfunction
KW - Upper esophageal sphincter
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U2 - 10.1007/s00595-010-4449-z
DO - 10.1007/s00595-010-4449-z
M3 - Article
C2 - 21874422
AN - SCOPUS:80052419922
SN - 0941-1291
VL - 41
SP - 1238
EP - 1242
JO - Surgery today
JF - Surgery today
IS - 9
ER -