Dysphagia due to neuromuscular in coordination is major disability for the patient. Not able to swallow food or liquids inspite of healthy appetite makes the patient most irritable and can lead to psychological problems. Added to the swallowing problem patient also encounters symptoms and signs of laryngeal penetration or aspiration. For these patients, surgical option of cricopharyngeal myotomy offers a very good relief. We describe two cases where CP myotomy could facilitate a good swallow and prevent laryngeal stimulation or penetration and made a significant improvement in the quality of life of the patients.
Cricopharyngeal dysfunction. Otolaryngol Head Neck Surg Feb 1992; 106(2):163-68.
Swallowing function following extensive resection of oral or oropharyngeal cancer with laryngeal suspension and cricopharyngeal myotomy. Laryngoscope Aug 2007;117(8): 1343-48.
Longterm results of cricopharyngeal myotomy in oculopharyngeal muscular dystrophy. Otolaryngol Head Neck Surg Aug 2006;135(2):218-22.
Dysphagia in inclusion body myositis: Clinical features, management and clinical outcome. Am J Phys Med Rehabil Nov 2008;87(11):883-89.
Endoscopic CO2 laser cricopharyngeal myotomy. Laryngoscope Jan 2009;119(1):45-53.
Endoscopic laser vs open approach for cricopharyngeal myotomy. Otolaryngol Head Neck Surg May 2006;134(5):830-35.
The frequency of cricopharyngeal dysfunction on videofluoroscopic swallowing studies in patients with dysphagia. Am J Otolaryngol May-Jun 1997;18(3):185-89.
Use of botulinum toxin for diagnosis and management of cricopharyngeal achalasia. Otolaryngol Head Neck Surg Mar 1997;116(3):328-30.
Pharyngoesophageal dysfunctions. The role of cricopharyngeal myotomy. Arch Surg May 1985;120(5):541-49.
Management of upper esophageal sphincter disorders: Indications and complications of myotomy. Am J Med Mar 6 2000;108 Suppl 4a:43S-46S.
Endoscopic CO2 laser-assisted surgery for cricopharyngeal dysfunction. Eur Arch Otorhinolaryngol Oct 2003;260(9):475-80.
Cricopharyngeal myotomy in the treatment of dysphagia. Clin Otolaryngol Allied Sci Jun 1990;15(3):221-27.
Cricopharyngeal botox injection: Indications and technique. Curr Opin Otolaryngol Head Neck Surg Dec 2006;14(6):431-36.
Endoscopic botulinum toxin injection for cricopharyngeal dysphagia. Ann Otol Rhinol Laryngol Oct 2002;111(10):871-74.
Videofluoroscopic findings in dysphagic patients with cricopharyngeal dysfunction: Before and after open cricopharyngeal myotomy. Ann Otol Rhinol Laryngol Jan 2007;116(1):49-56.
