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Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy

  • K Fujiwara (a1), K Kawamoto (a2), K Taira (a1), T Fukuhara (a1), S Koyama (a1), H Kataoka (a1), H Kitano (a1) and H Takeuchi (a1)...
Abstract
Background

In endoscopic cricopharyngeal myotomy, surgeons sometimes have concerns about performing an adequate incision with only a narrow intra-cavital view from one direction. In order to overcome these issues, fluoroscopic radiography was used during endoscopic cricopharyngeal myotomy.

Methods

Peri-operative fluoroscopic radiography was utilised to check the position of the diverticuloscope, and to confirm the extent of the incision during surgery. A balloon catheter was used to determine whether the cricopharyngeal muscle was sufficiently resected. Blood loss, peri-operative complications, and functional oral swallowing scale and penetration aspiration scale scores were evaluated.

Results

In 12 out of 15 patients, intra-operative fluoroscopic radiography showed the diverticuloscope positioned in the post-cricoid area, and the cricopharyngeal muscle was raised and the surgery completed without adverse effect. Swallowing functions improved following surgery.

Conclusion

Intra-operative fluoroscopy might improve endoscopic cricopharyngeal myotomy by allowing surgeons to confirm the extent of resection, and by reducing peri-operative morbidity and complication rates.

Copyright
Corresponding author
Author for correspondence: Dr Kazunori Fujiwara, Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Tottori University, 36-1 Nishimachi, Yonago 683-8504, Japan E-mail: kfujiwa@med.tottori-u.ac.jp Fax: +81 859 38 6629
Footnotes
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Dr K Fujiwara takes responsibility for the integrity of the content of the paper

Footnotes
References
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8Bachy, V, Matar, N, Remacle, M, Jamart, J, Lawson, G. Long-term functional results after endoscopic cricopharyngeal myotomy with CO2 laser: a retrospective study of 32 cases. Eur Arch Otorhinolaryngol 2013;270:965–8
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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