Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy. Issue 12 (24th January 2019)

• Record Type: Journal Article
• Authors: Fujiwara, K; Kawamoto, K; Taira, K; Fukuhara, T; Koyama, S; Kataoka, H; Kitano, H; Takeuchi, H
• Is Part Of: Journal of laryngology & otology. Volume 132:Issue 12(2018)
• Page Start: 1128
• Page End: 1133
• Publication Date: 2019-01-24
• Subjects: Endoscopic Cricopharyngeal Myotomy, -- Intraoperative Fluoroscopic Imaging, -- Balloon Catheter, -- Functional Oral Swallowing Scale, -- Penetration Aspiration Scale, -- Dysphagia; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215118002232
• Languages: English
• ISSNs: 0022-2151

Abstract

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.