Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1985 Jul;67(4):229–231.

Relief of dysphagia in motor neurone disease with cricopharyngeal myotomy.

V C David
PMCID: PMC2497867  PMID: 4037632

Abstract

The results of cricopharyngeal myotomy in 31 patients with dysphagia caused by motor neurone disease are reported. Two had an excellent result, 8 a good result, 11 moderate relief of dysphagia while 4 did not benefit at all. There were 6 postoperative deaths. It is suggested that the operation is of benefit to the majority of patients with motor neurone disease but should be performed early in the course of the disease in order to reduce mortality and morbidity.

Full text

PDF
230

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Black R. J. Cricopharyngeal myotomy. J Otolaryngol. 1981 Apr;10(2):145–148. [PubMed] [Google Scholar]
  2. Ellis F. H., Jr Upper esophageal sphincter in health and disease. Surg Clin North Am. 1971 Jun;51(3):553–565. doi: 10.1016/s0039-6109(16)39430-0. [DOI] [PubMed] [Google Scholar]
  3. English G. M., Morfit H. M., Ratzer E. R. Cervical esophagostomy in head and neck cancer. Arch Otolaryngol. 1970 Oct;92(4):335–339. doi: 10.1001/archotol.1970.04310040029005. [DOI] [PubMed] [Google Scholar]
  4. Hiebert C. A. Surgery for cricopharyngeal dysfunction under local anesthesia. Am J Surg. 1976 Apr;131(4):423–427. doi: 10.1016/0002-9610(76)90151-3. [DOI] [PubMed] [Google Scholar]
  5. KAPLAN S. Paralysis of deglutition, a post-poliomyelitis complication treated by section of the cricopharyngeus muscle. Ann Surg. 1951 Apr;133(4):572–573. doi: 10.1097/00000658-195104000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. KIRCHNER J. A. The motor activity of the cricopharyngeus muscle. Laryngoscope. 1958 Jul;68(7):1119–1159. doi: 10.1002/lary.5540680701. [DOI] [PubMed] [Google Scholar]
  7. Lebo C. P., U K. S., Norris F. H., Jr Cricopharyngeal myotomy in amyotrophic lateral sclerosis. Laryngoscope. 1976 Jun;86(6):862–868. doi: 10.1288/00005537-197606000-00013. [DOI] [PubMed] [Google Scholar]
  8. Loizou L. A., Small M., Dalton G. A. Cricopharyngeal myotomy in motor neurone disease. J Neurol Neurosurg Psychiatry. 1980 Jan;43(1):42–45. doi: 10.1136/jnnp.43.1.42. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Lund W. S. The cricopharyngeal sphincter: its relationship to the relief of pharyngeal paralysis and the surgical treatment of the early pharyngeal pouch. J Laryngol Otol. 1968 Apr;82(4):353–367. doi: 10.1017/s0022215100068857. [DOI] [PubMed] [Google Scholar]
  10. MILLS C. P. DYSPHAGIA IN PROGESSIVE BULBAR PALSY RELIEVED BY DIVISION OF THE CRI-PHARYNGEUS. J Laryngol Otol. 1964 Oct;78:963–964. doi: 10.1017/s0022215100063039. [DOI] [PubMed] [Google Scholar]
  11. Mills C. P. Dysphagia in pharyngeal paralysis treated by cricopharyngeal sphincterotomy. Lancet. 1973 Mar 3;1(7801):455–457. doi: 10.1016/s0140-6736(73)91881-3. [DOI] [PubMed] [Google Scholar]
  12. Ross E. R., Green R., Auslander M. O., Biller H. F. Cricopharyngeal myotomy: management of cervical dysphagia. Otolaryngol Head Neck Surg. 1982 Jul-Aug;90(4):434–441. doi: 10.1177/019459988209000413. [DOI] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES