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Modified approach for pediatric external cricopharyngeal myotomy.
Int J Pediatr Otorhinolaryngol. 2018 Feb; 105:111-114.IJ

Abstract

Pediatric cricopharyngeal achalasia is an uncommon but important cause of oropharyngeal dysphagia. Failure of upper esophageal sphincter relaxation is the currently understood pathophysiology. Therapies include balloon dilation, botulinum toxin injection, and endoscopic or open cricopharyngeal myotomy (CPM). Open CPM is usually performed at the posterior midline of the cricopharyngeus and can be a risky procedure given concern for esophageal perforation and damage to the recurrent laryngeal nerve. Here, we present a novel modified technique for open CPM using a superficial anterolateral transection approach in the case of a young male with refractory cricopharyngeal achalasia.

Authors+Show Affiliations

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.Department of Speech, Language and Swallowing Disorders, Massachusetts General Hospital, Boston, MA, USA.Department of Pediatrics, Massachusetts General Hospital for Children, Harvard Medical School, Boston, MA, USA.Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA. Electronic address: christopher_hartnick@meei.harvard.edu.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29447795

Citation

Mohan, Suresh, et al. "Modified Approach for Pediatric External Cricopharyngeal Myotomy." International Journal of Pediatric Otorhinolaryngology, vol. 105, 2018, pp. 111-114.
Mohan S, Bowe SN, Hirner LM, et al. Modified approach for pediatric external cricopharyngeal myotomy. Int J Pediatr Otorhinolaryngol. 2018;105:111-114.
Mohan, S., Bowe, S. N., Hirner, L. M., Zar-Kessler, C., & Hartnick, C. J. (2018). Modified approach for pediatric external cricopharyngeal myotomy. International Journal of Pediatric Otorhinolaryngology, 105, 111-114. https://doi.org/10.1016/j.ijporl.2017.12.019
Mohan S, et al. Modified Approach for Pediatric External Cricopharyngeal Myotomy. Int J Pediatr Otorhinolaryngol. 2018;105:111-114. PubMed PMID: 29447795.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modified approach for pediatric external cricopharyngeal myotomy. AU - Mohan,Suresh, AU - Bowe,Sarah N, AU - Hirner,Lara M, AU - Zar-Kessler,Claire, AU - Hartnick,Christopher J, Y1 - 2017/12/15/ PY - 2017/11/08/received PY - 2017/12/12/revised PY - 2017/12/14/accepted PY - 2018/2/16/entrez PY - 2018/2/16/pubmed PY - 2018/3/20/medline KW - Aspiration KW - Cricopharyngeal achalasia KW - Cricopharyngeal myotomy KW - Dysphagia KW - Penetration SP - 111 EP - 114 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 105 N2 - Pediatric cricopharyngeal achalasia is an uncommon but important cause of oropharyngeal dysphagia. Failure of upper esophageal sphincter relaxation is the currently understood pathophysiology. Therapies include balloon dilation, botulinum toxin injection, and endoscopic or open cricopharyngeal myotomy (CPM). Open CPM is usually performed at the posterior midline of the cricopharyngeus and can be a risky procedure given concern for esophageal perforation and damage to the recurrent laryngeal nerve. Here, we present a novel modified technique for open CPM using a superficial anterolateral transection approach in the case of a young male with refractory cricopharyngeal achalasia. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/29447795/Modified_approach_for_pediatric_external_cricopharyngeal_myotomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(17)30615-8 DB - PRIME DP - Unbound Medicine ER -