Cricopharyngeal myotomy in the treatment of dysphagia
1975; Wiley; Volume: 85; Issue: 11 Linguagem: Inglês
10.1288/00005537-197511000-00008
ISSN1531-4995
Autores Tópico(s)Child Nutrition and Feeding Issues
ResumoAbstract Deglutition is a complex neuromuscular act. Alterations in anatomy and physiology may lead to dysphagia. The role of the cricopharyngeus appears to be the keystone in the rehabilitation of many patients with dysphagia. This paper examines the physiology of swallowing as well as the patho‐physiology of its aberrations. Techniques and complications of cricopharyngeal myotomy are presented. Cases of dysphagia due to ablative surgery of the head and neck, dermatomyositis, cerebrovascular accidents, and cricopharyngeal achalasia in which cricopharyngeal myotomy was utilized, are reported. It would appear from this small number of cases, that cricopharyngeal myotomy is indicated in the rehabilitation of dysphagia in patients with varied disease states.
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