Cricopharyngeal myotomy for primary cricopharyngeal dysfunction caused by a structural abnormality localized in the cricopharyngeus muscle: Report of a case

Koichi Suda, Hiroya Takeuchi, Hiroaki Seki, Akira Yoshizu, Nobutaka Yasui, Hidetoshi Matsumoto, Akihiko Shimada, Hiroki Ishikawa, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Primary cricopharyngeal dysfunction (PCD) is a rare idiopathic disorder of the upper esophageal sphincter (UES), characterized by oropharyngeal dysphagia, frequent aspiration, and narrowing at the level of the UES. Cricopharyngeal myotomy (CPM) has been used to treat oropharyngeal dysphagia of different causes including anatomic, neuromuscular, iatrogenic, inflammatory, neoplastic, and idiopathic; however, the indications for CPM and predictors of its outcome are not clearly defined. We report a case of PCD with hypertonic UES caused by a structural abnormality localized in the cricopharyngeus muscle, visualized as a cricopharyngeal bar, which we treated successfully by CPM, achieving long-term relief.

Original languageEnglish
Pages (from-to)1238-1242
Number of pages5
JournalSurgery today
Volume41
Issue number9
DOIs
Publication statusPublished - 2011 Sep

Keywords

  • Cricopharyngeal bar
  • Cricopharyngeal myotomy
  • Cricopharyngeus muscle
  • Primary cricopharyngeal dysfunction
  • Upper esophageal sphincter

ASJC Scopus subject areas

  • Surgery

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