User menu

Accès à distance ? S'identifier sur le proxy UCLouvain

Long-term functional results after endoscopic cricopharyngeal myotomy with CO(2) laser: a retrospective study of 32 cases.

Primary tabs

Bachy, Vincent [UCL] Matar, Nayla Remacle, Marc [UCL] Jamart, Jacques [UCL] Lawson, Georges [UCL]

Endoscopic cricopharyngeal myotomy (ECPM) with CO(2) laser is indicated in cases with swallowing disorders when a dysfunction of the cricopharyngeal muscle is diagnosed. We present the results of a retrospective study including 32 of the 65 consecutive patients who underwent ECPM in our center between 2002 and 2009. The aim of this study is to evaluate the postoperative complications and complaints, the improvement of swallowing after surgery, the global satisfaction of the surgery and the swallowing improvement according to the deglutition handicap index (DHI). No major postoperative complication was reported. Postoperative pain was present in 46.9 % of the patients and estimated on an analog scale at 4.4/10. For the others, this surgery was painless. Improvement in swallowing liquids was present in 75 % of the patients and 81 % of the patients could swallow solids. The overall patients' satisfaction on a scale of 10 was 7.2; if needed, 83.9 % of the patients would do the surgery again. Concerning the DHI, we report a significant improvement of all items except the last one. ECPM is a safe procedure which provides improvement of symptoms and satisfaction for the majority of patients.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2012
Language Anglais
Journal information "European Archives of Oto-Rhino-Laryngology" - Vol. 270, no. 3, p. 965-968 (2013)
Peer reviewed yes
Publisher Springer ((Germany) Heidelberg)
issn 0937-4477
e-issn 1434-4726
Publication status Publié
Affiliations UCL - (MGD) Service d'oto-rhino-laryngologie
UCL - SSS/IREC/MONT - Pôle Mont Godinne
UCL - (MGD) Unité de support scientifique
UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery
Links
  1. Crestani S, Moerman M, Woisard V (2011) The “Deglutition Handicap Index” a self-administrated dysphagia-specific quality of life questionnaire: sensibility to change. Rev Laryngol Otol Rhinol 132(1):3–7 Epub 2011/10/08
  2. Woisard V, Andrieux MP, Puech M (2006) Validation d’un questionnaire d’auto-evaluation du handicap pour les troubles de la deglutition oropharyngee (Deglutition Handicap Index). Rev Laryngol Otol Rhinol 127(5):315–325 Epub 2007/04/12
  3. Lawson Georges, Remacle Marc, Jamart Jacques, Keghian J�r�me, Endoscopic CO 2 laser-assisted surgery for cricopharyngeal dysfunction, 10.1007/s00405-003-0605-z
  4. Lawson Georges, Remacle Marc, Endoscopic cricopharyngeal myotomy: indications and technique : , 10.1097/moo.0b013e3280106314
  5. Brøndbo K., Treatment of Cricopharyngeal Dysfunction by Endoscopic Laser Myotomy, 10.1080/000164800454440
  6. Halvorson David J., Kuhn Frederick A., Transmucosal Cricopharyngeal Myotomy with the Potassium-Titanyl-Phosphate Laser in the Treatment of Cricopharyngeal Dysmotility, 10.1177/000348949410300302
  7. Takes Robert P., van den Hoogen Frank J. A., Marres Henri A. M., Endoscopic myotomy of the cricopharyngeal muscle with CO2 laser surgery, 10.1002/hed.20201
  8. Kelly James H, Management of upper esophageal sphincter disorders: indications and complications of myotomy, 10.1016/s0002-9343(99)00334-4
  9. Herberhold C, Walther EK (1995) Endoscopic laser myotomy in cricopharyngeal achalasia. Adv Otorhinolaryngol 49:144–147 Epub 1995/01/01
  10. Dauer Eileen, Salassa John, Iuga Laura, Kasperbauer Jan, Endoscopic laser vs open approach for cricopharyngeal myotomy, 10.1016/j.otohns.2005.12.030
  11. Yip Helena T., Leonard Rebecca, Kendall Katherine A., Cricopharyngeal Myotomy Normalizes the Opening Size of the Upper Esophageal Sphincter in Cricopharyngeal Dysfunction : , 10.1097/01.mlg.0000184526.89256.85
  12. Pitman Michael, Weissbrod Philip, Endoscopic CO2laser cricopharyngeal myotomy, 10.1002/lary.20032
  13. Woisard V, Lepage B (2010) The “Deglutition Handicap Index” a self-administrated dysphagia-specific quality of life questionnaire: temporal reliability. Rev Laryngol Otol Rhinol 131(1):19–22 Epub 2010/11/17
Bibliographic reference Bachy, Vincent ; Matar, Nayla ; Remacle, Marc ; Jamart, Jacques ; Lawson, Georges. Long-term functional results after endoscopic cricopharyngeal myotomy with CO(2) laser: a retrospective study of 32 cases.. In: European Archives of Oto-Rhino-Laryngology, Vol. 270, no. 3, p. 965-968 (2013)
Permanent URL http://hdl.handle.net/2078.1/116753