Endoscopic approach to cricopharyngeal hypertonicity and hypopharyngeal diverticulum

Johnathan D. McGinn

doi:10.1016/j.otot.2016.04.003

Endoscopic approach to cricopharyngeal hypertonicity and hypopharyngeal diverticulum

Johnathan D. McGinn

Department of Otolaryngology - Head and Neck Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Cricopharyngeal (CP) muscle dysfunction may be an etiology for oropharyngeal dysphagia. The CP muscle may fail to relax fully, or in a coordinated fashion during the swallowing reflex. Alone this may cause dysphagia, but may also precipitate a pulsion diverticulum, known as Zenker's diverticulum. When symptom severity and radiographic and endoscopic evaluation warrant intervention, endoscopic and open surgical options to manage these issues are available. This article strives to describe the techniques of endoscopic CP myotomy and Zenker's diverticulostomy. Patient selection, contraindications for the surgery, and potential complications are described.

Original language	English (US)
Pages (from-to)	67-73
Number of pages	7
Journal	Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume	27
Issue number	2
DOIs	https://doi.org/10.1016/j.otot.2016.04.003
State	Published - Jun 1 2016

All Science Journal Classification (ASJC) codes

Surgery
Otorhinolaryngology

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10.1016/j.otot.2016.04.003

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abstract = "Cricopharyngeal (CP) muscle dysfunction may be an etiology for oropharyngeal dysphagia. The CP muscle may fail to relax fully, or in a coordinated fashion during the swallowing reflex. Alone this may cause dysphagia, but may also precipitate a pulsion diverticulum, known as Zenker's diverticulum. When symptom severity and radiographic and endoscopic evaluation warrant intervention, endoscopic and open surgical options to manage these issues are available. This article strives to describe the techniques of endoscopic CP myotomy and Zenker's diverticulostomy. Patient selection, contraindications for the surgery, and potential complications are described.",

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AB - Cricopharyngeal (CP) muscle dysfunction may be an etiology for oropharyngeal dysphagia. The CP muscle may fail to relax fully, or in a coordinated fashion during the swallowing reflex. Alone this may cause dysphagia, but may also precipitate a pulsion diverticulum, known as Zenker's diverticulum. When symptom severity and radiographic and endoscopic evaluation warrant intervention, endoscopic and open surgical options to manage these issues are available. This article strives to describe the techniques of endoscopic CP myotomy and Zenker's diverticulostomy. Patient selection, contraindications for the surgery, and potential complications are described.

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Endoscopic approach to cricopharyngeal hypertonicity and hypopharyngeal diverticulum

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