Long-term results of external upper esophageal sphincter myotomy for oropharyngeal Dysphagia.

Abstract:

:The aim of this work was to assess the efficacy of external myotomy of the upper esophageal sphincter (UES) for oropharyngeal dysphagia. In the period 1991-2006, 28 patients with longstanding dysphagia and/or aspiration problems of different etiologies underwent UES myotomy as a single surgical treatment. The main symptoms were difficulties in swallowing of a solid-food bolus, aspiration, and recurrent incidents of solid-food blockages. Pre- and postoperative manometry and videofluoroscopy were used to assess deglutition and aspiration. Outcome was defined as success in the case of complete relief or marked improvement of dysphagia and aspiration and as failure in the case of partial improvement or no improvement. Initial results showed success in 21 and failure in 7 patients. The best outcomes were observed in patients with dysphagia of unknown origin, noncancer-related iatrogenic etiology, and neuromuscular disease. No correlation was found between preoperative constrictor pharyngeal muscle activity and success rate. After follow-up of more than 1 year, 20 patients were marked as success and 3 as failure. All successful patients had full oral intake with a normal bolus consistency without clinically significant aspiration. We conclude that in select cases of oropharyngeal dysphagia success may be achieved by UES myotomy with restoration of oral intake of normal bolus consistency.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Kos MP,David EF,Klinkenberg-Knol EC,Mahieu HF

doi

10.1007/s00455-009-9236-x

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

169-76

issue

3

eissn

0179-051X

issn

1432-0460

journal_volume

25

pub_type

杂志文章
  • Patient Adherence to Dysphagia Recommendations: A Systematic Review.

    abstract::Patient adherence to treatment recommendations is an important issue for healthcare providers, in a multitude of specialties, and is critical when assessing the efficacy and effectiveness of a particular treatment approach. Patients who have swallowing impairment often require complex and specific interventions requir...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9852-9

    authors: Krekeler BN,Broadfoot CK,Johnson S,Connor NP,Rogus-Pulia N

    更新日期:2018-04-01 00:00:00

  • A study of the early stage of Dysphagia in amyotrophic lateral sclerosis.

    abstract::In amyotrophic lateral sclerosis (ALS) patients, dysphagia eventually occurs independent of time of onset. We studied dysphagia conditions in the early stage of ALS, principally at the oral phase. Videofluoroscopic and manometric studies were conducted on 11 patients (5 males and 6 females, age range = 47-82 years) wh...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0074-3

    authors: Kawai S,Tsukuda M,Mochimatsu I,Enomoto H,Kagesato Y,Hirose H,Kuroiwa Y,Suzuki Y

    更新日期:2003-01-01 00:00:00

  • Effects of consistent food presentation on efficiency of eating and nutritive value of food consumed by children with severe neurological impairment.

    abstract::The purpose of this investigation was to determine what implications consistent presentation of food, delivered by an assistive feeding device at a position regarded as optimal, would have for the maintenance of food intake, duration of meals, and efficiency of eating. The trial employed an AB within-subjects design a...

    journal_title:Dysphagia

    pub_type: 临床试验,杂志文章

    doi:10.1007/PL00009580

    authors: Pinnington L,Hegarty J

    更新日期:1999-01-01 00:00:00

  • A Pilot Study of the Head Extension Swallowing Exercise: New Method for Strengthening Swallowing-Related Muscle Activity.

    abstract::This pilot study examined the effect of a new head extension swallowing exercise (HESE) on submental muscle activity and tongue strength in healthy volunteers. Fifteen young adults (10 females and 5 males) were instructed to extend their head backwards as much as possible, and while watching the ceiling, swallowed the...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9732-8

    authors: Oh JC

    更新日期:2016-10-01 00:00:00

  • Nutritional considerations for the pureed diet texture in dysphagic elderly.

    abstract::In long-term care facilities little attention is given to the nutritional density, flavor, and presentation of the pureed diet texture. Use of the food processor to puree food offers opportunities for the development of pureed meals that are flavorful and appealing. This article presents guidelines that foodservice de...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493438

    authors: Hotaling DL

    更新日期:1992-01-01 00:00:00

  • Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection.

    abstract::Early identification of dysphagia by screening is recommended best practice for patients admitted to hospital with acute stroke. Screening can reduce the risk of pneumonia and promote stroke recovery, yet some institutions do not utilize a formal screening protocol. This study assessed the accuracy of informal dysphag...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9885-8

    authors: Sherman V,Flowers H,Kapral MK,Nicholson G,Silver F,Martino R

    更新日期:2018-10-01 00:00:00

  • Neuroplasticity and swallowing.

    abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-008-9193-9

    authors: Martin RE

    更新日期:2009-06-01 00:00:00

  • Unusual Cause of Dysphagia in a Post-Stroke Patient.

    abstract::Vallecular cysts are formed when the duct of a mucous gland or lingual tonsillar crypt is dilated owing to obstruction from inflammation, irritation, or trauma. Small cysts are usually asymptomatic; however, cyst growth results in dysphagia, odynophagia, and acute airway complications. As complete transoral laser exci...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9796-0

    authors: Kwon SH,Seo HG

    更新日期:2017-10-01 00:00:00

  • Dysphagia in bulimia nervosa.

    abstract::The findings on 13 patients with bulimia nervosa referred for evaluation of salivary glands and swallowing patterns are presented. Each patient completed a medical, oral, and social history questionnaire. A complete oral examination supported by appropriate dental radiographs and photographs was conducted. Unstimulate...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02407154

    authors: Roberts MW,Tylenda CA,Sonies BC,Elin RJ

    更新日期:1989-01-01 00:00:00

  • Associations between laryngeal and cough dysfunction in motor neuron disease with bulbar involvement.

    abstract::True vocal fold (TVF) dysfunction may lead to cough ineffectiveness. In individuals with motor neuron disease (MND), cough impairment in the context of dysphagia increases risk for aspiration and respiratory failure. This study characterizes differences and associations between TVF kinematics and airflow during cough ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-014-9554-5

    authors: Britton D,Benditt JO,Merati AL,Miller RM,Stepp CE,Boitano L,Hu A,Ciol MA,Yorkston KM

    更新日期:2014-12-01 00:00:00

  • Surgical treatment for locally advanced (T4) squamous cell carcinoma of the thoracic esophagus.

    abstract::It is still difficult to decide on the treatment modalities for advanced esophageal carcinoma when the prognostic factors of T4 esophageal cancer are not fully understood. In this article, we report that among 71 patients with T4 thoracic esophageal cancer, 49 underwent esophagectomy, 9 had curative resection (R0 grou...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0069-0

    authors: Tachibana M,Dhar DK,Kinugasa S,Yoshimura H,Shibakita M,Ohno S,Ueda S,Fujii T,Kohno H,Nagasue N

    更新日期:2002-10-01 00:00:00

  • Assessment of swallowing by oropharyngoesophageal scintigraphy in patients with amyotrophic lateral sclerosis.

    abstract::Amyotrophic lateral sclerosis (ALS) is the most common degenerative motor neuron disease in adults, and dysphagia is one of its most frequent and disabling symptoms. Oropharyngoesophageal scintigraphy (OPES) permits a functional and semiquantitative study of the various stages of swallowing. We studied 28 ALS patients...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-006-9052-5

    authors: Fattori B,Grosso M,Bongioanni P,Nacci A,Cristofani R,AlSharif A,Licitra R,Matteucci F,Rossi B,Rubello D,Ursino F,Mariani G

    更新日期:2006-10-01 00:00:00

  • The influence of bolus volume and viscosity on anterior lingual force during the oral stage of swallowing.

    abstract::The influence of bolus volume and viscosity on the distribution of anterior lingual force during the oral stage of swallowing was investigated using a new force transducer technology. The maximum force amplitudes from 5 normal adults were measured simultaneously at the mid-anterior, right, and left lateral tongue marg...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF00417901

    authors: Miller JL,Watkin KL

    更新日期:1996-04-01 00:00:00

  • Late Dysphagia and dyspnea as complications of esophagogastroduodenoscopy in delayed pressure urticaria: case report.

    abstract::Delayed pressure urticaria (DPU) is characterized by swelling in the area of sustained pressure on the skin. The reported case was a potentially life-threatening complication due to mucosal edema following esophagogastroduodenoscopy (EGD). A 37-year-old man, suffering from severe DPU and chronic spontaneous urticaria,...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-011-9348-y

    authors: Czecior E,Grzanka A,Kurak J,Misiolek M,Kasperska-Zajac A

    更新日期:2012-03-01 00:00:00

  • Dysphagia following strokes: clinical observations of swallowing rehabilitation employing palatal training appliances.

    abstract::A retrospective study was undertaken to evaluate the progress of a group of dysphagic stroke patients for whom a dental prosthesis the Palatal Training Appliance (PTA), was used in the active rehabilitation of the swallowing mechanism. Patients selected were those who had sustained a stroke uncomplicated by other neur...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF00261277

    authors: Selley WG,Roche MT,Pearce VR,Ellis RE,Flack FC

    更新日期:1995-01-01 00:00:00

  • Comparative review of techniques for recording respiratory events at rest and during deglutition.

    abstract::The coordination between swallowing and respiration is essential for safe feeding, and noninvasive feeding-respiratory instrumentation has been used in feeding and dysphagia assessment. Sometimes there are differences of interpretation of the data produced by the various respiratory monitoring techniques, some of whic...

    journal_title:Dysphagia

    pub_type: 杂志文章,meta分析

    doi:10.1007/pl00009515

    authors: Tarrant SC,Ellis RE,Flack FC,Selley WG

    更新日期:1997-01-01 00:00:00

  • Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes.

    abstract::Large projecting ventral cervical osteophytes are associated with senile degenerative skeletal disease, post-traumatic osteophytogenesis, and diffuse idiopathic skeletal hyperostosis (DISH). The vast majority of patients with cervical osteophytes are asymptomatic. However, in a small subset this condition may lead to ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-009-9264-6

    authors: Carlson ML,Archibald DJ,Graner DE,Kasperbauer JL

    更新日期:2011-03-01 00:00:00

  • "Wet Voice" as a predictor of penetration and aspiration in oropharyngeal dysphagia.

    abstract::This article describes the results of a study that investigated how well wet phonation can predict penetration and/or aspiration of ingested material in dysphagic patients. Voice samples of 23 subjects with neurologic oropharyngeal dysphagia were collected immediately after each subject had swallowed nine different bo...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550010005

    authors: Warms T,Richards J

    更新日期:2000-04-01 00:00:00

  • Relationship Between Laryngeal Sensory Deficits, Aspiration, and Pneumonia in Patients with Dysphagia.

    abstract::The laryngeal adductor reflex (LAR) is an airway protective reflex that manifests as a brief vocal fold closure in response to laryngeal stimulation. This study examined if the absence of the LAR in response to touch delivered by a laryngoscope is associated with penetration/aspiration or pneumonia in patients with dy...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9845-8

    authors: Kaneoka A,Pisegna JM,Inokuchi H,Ueha R,Goto T,Nito T,Stepp CE,LaValley MP,Haga N,Langmore SE

    更新日期:2018-04-01 00:00:00

  • Evaluation of swallowing in children with vomiting after feeding.

    abstract::Vomiting after feeding is a symptom of gastroesophageal reflux (GER) and of eosinophilic esophagitis (EE), which are considered to be a cause of infant feeding disorder. The objective of the present study was to evaluate swallowing in children with feeding disorder manifested by vomiting after feeding. Using clinical ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-007-9122-3

    authors: Duca AP,Dantas RO,Rodrigues AA,Sawamura R

    更新日期:2008-06-01 00:00:00

  • Pharyngeal Swallowing Pressures in Patients with Radiation-Associated Dysphagia.

    abstract::Dysphagia associated with radiotherapy for head and neck cancer is complex and can be difficult to treat. Videofluoroscopic swallow studies (VFSS) are the current gold-standard instrumented swallow assessment. High-resolution manometry (HRM) is an additional approach that provides objective measurements of swallowing-...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10128-9

    authors: Schaen-Heacock NE,Jones CA,McCulloch TM

    更新日期:2020-05-15 00:00:00

  • Unilateral superior laryngeal nerve lesion in an animal model of dysphagia and its effect on sucking and swallowing.

    abstract::We tested two hypotheses relating to the sensory deficit that follows a unilateral superior laryngeal nerve (SLN) lesion in an infant animal model. We hypothesized that it would result in (1) a higher incidence of aspiration and (2) temporal changes in sucking and swallowing. We ligated the right-side SLN in six 2-3-w...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-013-9448-y

    authors: Ding P,Campbell-Malone R,Holman SD,Lukasik SL,Fukuhara T,Gierbolini-Norat EM,Thexton AJ,German RZ

    更新日期:2013-09-01 00:00:00

  • The Landscape of Videofluoroscopy in the UK: A Web-Based Survey.

    abstract::Videofluoroscopy (VFS) is considered one of the gold-standard assessments of swallowing. Whilst guidelines for the application and conduct of VFS exist, their translation into clinical practice remain challenging. To build a greater understanding on how VFS clinics operate in the UK. A web-based survey was shared with...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10130-1

    authors: Benfield JK,Michou E,Everton LF,Mills C,Hamdy S,Bath PM,England TJ

    更新日期:2020-05-16 00:00:00

  • Occurrences of yawn and swallow are temporally related.

    abstract::Yawning is a stereotyped motor behavior characterized by deep inhalation and associated dilation of the respiratory tract, pronounced jaw opening, and facial grimacing. The frequency of spontaneous yawning varies over the diurnal cycle, peaking after waking and before sleep. Yawning can also be elicited by seeing or h...

    journal_title:Dysphagia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00455-014-9573-2

    authors: Abe K,Weisz SE,Dunn RL,DiGioacchino MC,Nyentap JA,Stanbouly S,Theurer JA,Bureau Y,Affoo RH,Martin RE

    更新日期:2015-02-01 00:00:00

  • Zenker's Diverticulum: Can Protocolised Measurements with Barium SWALLOW Predict Severity and Treatment Outcomes? The "Zen-Rad" Study.

    abstract::Although barium swallow imaging is established in the investigation of Zenker's diverticulum (ZD), no agreed measurement protocol exists. We developed a protocol for measuring ZD dimensions and aimed to correlate measurements with symptoms and post-operative outcomes. This prospective study included patients with conf...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-020-10148-5

    authors: Ishaq S,Siau K,Lee M,Shalmani HM,Kuwai T,Priestnall L,Muhammad H,Hall A,Mulder CJ,Neumann H,Aziz A

    更新日期:2020-06-19 00:00:00

  • Dysphagia in Multiple Sclerosis: Evaluation and Validation of the DYMUS Questionnaire.

    abstract:OBJECTIVE:The 10-item Dysphagia in Multiple Sclerosis (DYMUS) questionnaire is a self-administered tool used to identify swallowing problems in adults with MS. The questionnaire was not validated against other existing questionnaires to assess its convergent validity. Moreover, its test-retest reliability was not measu...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/s00455-017-9864-5

    authors: Alali D,Ballard K,Vucic S,Bogaardt H

    更新日期:2018-06-01 00:00:00

  • Predictors of aspiration pneumonia: how important is dysphagia?

    abstract::Aspiration pneumonia is a major cause of morbidity and mortality among the elderly who are hospitalized or in nursing homes. Multiple risk factors for pneumonia have been identified, but no study has effectively compared the relative risk of factors in several different categories, including dysphagia. In this prospec...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/PL00009559

    authors: Langmore SE,Terpenning MS,Schork A,Chen Y,Murray JT,Lopatin D,Loesche WJ

    更新日期:1998-04-01 00:00:00

  • Central nervous system control mechanisms of swallowing: a neuropharmacological perspective.

    abstract::Neuropharmacological in vivo and in vitro investigations are beginning to provide insight into chemical signaling processes within brainstem networks controlling the individual stages of swallowing. Different subtypes of excitatory amino acid (EAA) receptors operate at the level of solitarial interneurons programming ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF01321768

    authors: Bieger D

    更新日期:1993-10-01 00:00:00

  • Systematic desensitization of oral hypersensitivity in a patient with a closed head injury.

    abstract::A 36-year-old man who had sustained a closed head injury displayed extreme fear of being stimulated in the oral cavity, of being presented with foods, and of swallowing. The patient's fear increased his muscle tone and hypersensitivity in the facial and oral area, thereby preventing assessment of his dysphagia. We des...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02493445

    authors: Brown GE,Nordloh S,Donowitz AJ

    更新日期:1992-01-01 00:00:00

  • Clinical Characteristics and Lesions Responsible for Swallowing Hesitation After Acute Cerebral Infarction.

    abstract::Some stroke patients with a unilateral lesion demonstrate acute dysphagia characterized by a markedly prolonged swallowing time, making us think they are reluctant to swallow. In order to clarify the clinical characteristics and causative lesions of delayed swallowing, we conducted a retrospective analysis of 20 right...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9716-8

    authors: Saito T,Hayashi K,Nakazawa H,Ota T

    更新日期:2016-08-01 00:00:00