Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy.

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Efficacy of fluoroscopy-guided endoscopic cricopharyngeal myotomy.

J Laryngol Otol. 2018 Dec;132(12):1128-1133

Authors: Fujiwara K, Kawamoto K, Taira K, Fukuhara T, Koyama S, Kataoka H, Kitano H, Takeuchi H

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.

PMID: 30674368 [PubMed - in process]

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