Cricopharyngeal myotomy for the treatment of cricopharyngeal achalasia

Congenital cricopharyngeal achalasia in a 4.5-year-old managed by cervical myotomy: A case report

“…Balloon dilatation has been proven to be a common and safe first-line treatment in infants and small children with CCA [6,[8][9][10][11]. However, many cases have reported recurrence of dysphagia within months after the procedure [11,12], as was the case with our patient. Repeat dilatations or myotomy are often necessary.…”

“…CCA is much less common although many case reports have shown positive outcomes of surgical myotomy performed on patients ranging in age from 2 days to 2.5 years. Most of the cases of patients younger than 8 months old resulted in a short postoperative recovery time and restoration of full functionality [2,5,12,17]. Although, in a few cases of neonates treated by myotomy, feeding difficulties continued for up to 6 months [4].…”

Cricopharyngeal myotomy for delayed Cricopharyngeal dysfunction after head and neck surgery – case report

“…We have known that recurrent laryngeal nerve has been injured in our patient, therefore, it strongly suggests that cricopharyngeal narrow seen in our patient correlates with our patient's dysphagia after eliminating structuration abnormality in the esophagus and pharynx. Treatment options for cricopharyngeal dysfunction include injection of botulinumm toxin, dilatations, and surgical myotomy of the muscle [2]. We arranged cricopharyngeal myotomy for the patient because cricopharyngeal structureal abnormality was noted in barium swallow test, and we knew that the patient suffered permanent injury to recurrent laryngeal nerve.…”

“…Aspiration is the second most common morbidity in patients with UVCI 1 , and swallowing dysfunction has also been noted to be associated with glottis insufficiency. Cricopharyngeal dysfunction is a disorder caused by failure of the cricopharyngeus muscle in upper esophageal sphincter (UES) to relax during swallowing and thereby causing oropharyngeal dysphagia [2]. Open cricopharyngeal myotomy, performed through a cervical approach, has been successful in relieving oropharyngeal dysfunction resulted dysphagia in a variety of structural, myogenic, neurogenic, and idiopathic disorders [2].…”

“…Cricopharyngeal dysfunction is a disorder caused by failure of the cricopharyngeus muscle in upper esophageal sphincter (UES) to relax during swallowing and thereby causing oropharyngeal dysphagia [2]. Open cricopharyngeal myotomy, performed through a cervical approach, has been successful in relieving oropharyngeal dysfunction resulted dysphagia in a variety of structural, myogenic, neurogenic, and idiopathic disorders [2]. It also provides longer relieve on oropharyngeal dysfunction than botox injection which is common alternative treatment option.…”