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European Archives of Oto-Rhino-Laryngology

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14-09-2023 | Dysphagia | How I do it

Combined laryngeal framework surgery and cricopharyngeal muscle-origin transection: a novel effective surgery for dysphagia with pharyngolaryngeal palsy and cricopharyngeal dysfunction under local anesthesia

Authors: Ken Iwanaga, Ichiro Fujishima, Koichi Omori

Published in: European Archives of Oto-Rhino-Laryngology | Issue 12/2023

Abstract

Background

Cricopharyngeal myotomy and laryngeal framework surgery can improve swallowing function in patients with severe dysphagia. We developed a novel surgical technique for severe dysphagia associated with pharyngolaryngeal paralysis and cricopharyngeal dysfunction, performed under local anesthesia, and investigated its effectiveness.

Methods

We included nine patients who underwent cricopharyngeal muscle-origin transection with laryngeal framework surgery through a horizontal skin incision under local anesthesia.

Conclusions

All patients demonstrated significant improvement in the Food Intake LEVEL Scale without complications. Thus, this surgical technique may serve as a useful and less invasive treatment option for patients with severe dysphagia.

Available only for authorised users

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Title: Combined laryngeal framework surgery and cricopharyngeal muscle-origin transection: a novel effective surgery for dysphagia with pharyngolaryngeal palsy and cricopharyngeal dysfunction under local anesthesia
Authors: Ken Iwanaga
Ichiro Fujishima
Koichi Omori
Publication date: 14-09-2023
Publisher: Springer Berlin Heidelberg
Keywords: Dysphagia
Dysphagia
Local Anesthesia in Dentistry
Dysphagia
Incision
Published in: European Archives of Oto-Rhino-Laryngology / Issue 12/2023
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08225-0

2024 ASCO Annual Meeting

Springer Medicine

Combined laryngeal framework surgery and cricopharyngeal muscle-origin transection: a novel effective surgery for dysphagia with pharyngolaryngeal palsy and cricopharyngeal dysfunction under local anesthesia

Abstract

Background

Methods

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Methods

Conclusions

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