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The frequency of cricopharyngeal dysfunction on videofluoroscopic swallowing studies in patients with dysphagia.
Am J Otolaryngol. 1997 May-Jun; 18(3):185-9.AJ

Abstract

PURPOSE

Dysphagia associated with cricopharyngeal dysfunction (CPD) is of particular interest to the otolaryngologist because it may respond to cricopharyngeal myotomy. There is a wide variation in the reported incidence of cricopharyngeal dysfunction in patients with dysphagia. This can be attributed to the different populations being studied, the lack of uniform criteria for diagnosis, and to different techniques used to evaluate patients. We have reviewed videofluoroscopic swallowing studies (VSS) conducted on 443 consecutive patients with complaints of dysphagia to identify the incidence of cricopharyngeal dysfunction.

PATIENTS AND METHODS

The patient population consists of 443 veterans with complaints of dysphagia who were evaluated by videofluoroscopic swallowing studies at the Department of Veterans Affairs Medical Center, East Orange, NJ, between November 1988 and March 1993.

RESULTS

Cricopharyngeal dysfunction was diagnosed radiologically as the appearance of a shelf in the posterior column of barium at the level of the cricoid cartilage. It was identified in 10 of 177 (5.7%) patients with neurological disorders, in 7 of 142 (4.9%) patients with head and neck or esophageal tumors, and in 11 of 124 (8.9%) patients with other medical problems.

CONCLUSION

These results do not support the notion that cricopharyngeal dysfunction is an important factor in a significant proportion of patients with dysphagia. It is recognized that videofluoroscopy may not always detect cricopharyngeal dysfunction and that better criteria for identifying this entity are needed.

Authors+Show Affiliations

Section of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry-New Jersey Medical School, Newark 07103, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9164621

Citation

Baredes, S, et al. "The Frequency of Cricopharyngeal Dysfunction On Videofluoroscopic Swallowing Studies in Patients With Dysphagia." American Journal of Otolaryngology, vol. 18, no. 3, 1997, pp. 185-9.
Baredes S, Shah CS, Kaufman R. The frequency of cricopharyngeal dysfunction on videofluoroscopic swallowing studies in patients with dysphagia. Am J Otolaryngol. 1997;18(3):185-9.
Baredes, S., Shah, C. S., & Kaufman, R. (1997). The frequency of cricopharyngeal dysfunction on videofluoroscopic swallowing studies in patients with dysphagia. American Journal of Otolaryngology, 18(3), 185-9.
Baredes S, Shah CS, Kaufman R. The Frequency of Cricopharyngeal Dysfunction On Videofluoroscopic Swallowing Studies in Patients With Dysphagia. Am J Otolaryngol. 1997 May-Jun;18(3):185-9. PubMed PMID: 9164621.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The frequency of cricopharyngeal dysfunction on videofluoroscopic swallowing studies in patients with dysphagia. AU - Baredes,S, AU - Shah,C S, AU - Kaufman,R, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 185 EP - 9 JF - American journal of otolaryngology JO - Am J Otolaryngol VL - 18 IS - 3 N2 - PURPOSE: Dysphagia associated with cricopharyngeal dysfunction (CPD) is of particular interest to the otolaryngologist because it may respond to cricopharyngeal myotomy. There is a wide variation in the reported incidence of cricopharyngeal dysfunction in patients with dysphagia. This can be attributed to the different populations being studied, the lack of uniform criteria for diagnosis, and to different techniques used to evaluate patients. We have reviewed videofluoroscopic swallowing studies (VSS) conducted on 443 consecutive patients with complaints of dysphagia to identify the incidence of cricopharyngeal dysfunction. PATIENTS AND METHODS: The patient population consists of 443 veterans with complaints of dysphagia who were evaluated by videofluoroscopic swallowing studies at the Department of Veterans Affairs Medical Center, East Orange, NJ, between November 1988 and March 1993. RESULTS: Cricopharyngeal dysfunction was diagnosed radiologically as the appearance of a shelf in the posterior column of barium at the level of the cricoid cartilage. It was identified in 10 of 177 (5.7%) patients with neurological disorders, in 7 of 142 (4.9%) patients with head and neck or esophageal tumors, and in 11 of 124 (8.9%) patients with other medical problems. CONCLUSION: These results do not support the notion that cricopharyngeal dysfunction is an important factor in a significant proportion of patients with dysphagia. It is recognized that videofluoroscopy may not always detect cricopharyngeal dysfunction and that better criteria for identifying this entity are needed. SN - 0196-0709 UR - https://www.unboundmedicine.com/medline/citation/9164621/The_frequency_of_cricopharyngeal_dysfunction_on_videofluoroscopic_swallowing_studies_in_patients_with_dysphagia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0709(97)90080-6 DB - PRIME DP - Unbound Medicine ER -