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Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery - case report.
BMC Surg. 2020 Jan 08; 20(1):6.BS

Abstract

BACKGROUND

Head and neck surgeries can perturb normal structures of neck muscles and nerve innervations, which are supposed to function in harmony to allow complicated process like swallowing. It is still likely that cricopharyngal dysfunction emerges years after the head and neck surgeries.

CASE PRESENTATION

We report a case with history of left unilateral vocal cord immobility and development of dysphagia and aspiration 2 years after radical thyroidectomy with neck lymph nodes dissection and medialization thyroplasty. Cricopharyngeal dysfunction was impressed and was confirmed with visualization of cricopharyngeal narrowing segment in radiographic contrast swallow examination. The patient was treated successfully by cricopharyngeal myotomy, achieving long-term relief in our 4 years of follow up.

CONCLUSIONS

Our case of delayed cricopharyngal dysfunction after radical thyroidectomy and medialization thyroplasty shows that it is important to follow up swallowing functions after patients with UVCI undergo medialization thyroplasty. In the event of delayed manifestation of cricopharyngeal function, it can still be treated successfully by cricoharyngeal myotomy, achieving long term relief of dysphagia.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, Pingtung Hospital of Ministry of Health and Welfare, Zi-You Road #270, Pingtung City, 90054, Taiwan. advite000@hotmail.com.Department of Otolaryngology-Head and Neck Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31914981

Citation

Sung, An, and Ka-Wo Lee. "Cricopharyngeal Myotomy for Delayed Cricopharyngeal Dysfunction After Head and Neck Surgery - Case Report." BMC Surgery, vol. 20, no. 1, 2020, p. 6.
Sung A, Lee KW. Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery - case report. BMC Surg. 2020;20(1):6.
Sung, A., & Lee, K. W. (2020). Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery - case report. BMC Surgery, 20(1), 6. https://doi.org/10.1186/s12893-019-0667-5
Sung A, Lee KW. Cricopharyngeal Myotomy for Delayed Cricopharyngeal Dysfunction After Head and Neck Surgery - Case Report. BMC Surg. 2020 Jan 8;20(1):6. PubMed PMID: 31914981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery - case report. AU - Sung,An, AU - Lee,Ka-Wo, Y1 - 2020/01/08/ PY - 2019/04/08/received PY - 2019/12/17/accepted PY - 2020/1/10/entrez PY - 2020/1/10/pubmed PY - 2020/3/10/medline KW - Cricopharyngeal dysfunction KW - Cricopharyngeal myotomy KW - Cricopharyngeus muscle KW - Thyroplasty KW - Vocal cord paralysis SP - 6 EP - 6 JF - BMC surgery JO - BMC Surg VL - 20 IS - 1 N2 - BACKGROUND: Head and neck surgeries can perturb normal structures of neck muscles and nerve innervations, which are supposed to function in harmony to allow complicated process like swallowing. It is still likely that cricopharyngal dysfunction emerges years after the head and neck surgeries. CASE PRESENTATION: We report a case with history of left unilateral vocal cord immobility and development of dysphagia and aspiration 2 years after radical thyroidectomy with neck lymph nodes dissection and medialization thyroplasty. Cricopharyngeal dysfunction was impressed and was confirmed with visualization of cricopharyngeal narrowing segment in radiographic contrast swallow examination. The patient was treated successfully by cricopharyngeal myotomy, achieving long-term relief in our 4 years of follow up. CONCLUSIONS: Our case of delayed cricopharyngal dysfunction after radical thyroidectomy and medialization thyroplasty shows that it is important to follow up swallowing functions after patients with UVCI undergo medialization thyroplasty. In the event of delayed manifestation of cricopharyngeal function, it can still be treated successfully by cricoharyngeal myotomy, achieving long term relief of dysphagia. SN - 1471-2482 UR - https://www.unboundmedicine.com/medline/citation/31914981/Cricopharyngeal_myotomy_for_delayed_Cricopharyngeal_dysfunction_after_head_and_neck_surgery_-_case_report L2 - https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-019-0667-5 DB - PRIME DP - Unbound Medicine ER -