Videofluoroscopic findings in dysphagic patients with cricopharyngeal dysfunction:: Before and after open cricopharyngeal myotomy
Videofluoroscopic findings in dysphagic patients with cricopharyngeal dysfunction:: Before and after open cricopharyngeal myotomy
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DOI：
10.1177/000348940711600109
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发表时间：
2007-01-01
影响因子：
1.4
通讯作者：
Bhattacharyya, Neil
中科院分区：
文献类型：
--
作者：
Munoz, Amanda A.;Shapiro, Jo;Bhattacharyya, Neil
目的：Zenker憩室（ZD）和无憩室的颈咽功能障碍（CPD）的开放性颈咽肌切开术（CPM）后的功能结局尚未通过视频荧光吞咽研究（VFSS）进行统一测量。在这里，我们的特点术前VFSS的结果，在这些群体和评估的影响CPM吞咽通过术后VFSS.Methods：我们进行了回顾性分析配对的术前和术后VFSS结果从50例（36与ZD和14与CPD）超过6年。使用Serniquantitative量表评估1）咽隐窝淤滞程度; 2）咽食管括约肌（PES）狭窄程度; 3）误吸; 4）憩室大小。调查结果进行了比较组之间和跨subjects.Results：咽部淤滞更严重的CPD比ZD的受试者，在CPM之前和之后（p = 0.02和p = 0.0002，分别）。CPM改善了两组的PES狭窄（p = 0.03; p = 0.06），并缩小了ZD组的憩室大小（p
Objectives: Functional outcomes after open cricopharyngeal myotomy (CPM) for Zenker's diverticulum (ZD) and cricopharyngeal dysfunction without diverticulum (CPD) have not been uniformly measured by videofluorographic swallow study (VFSS). Here we characterize preoperative VFSS findings in these groups and evaluate the effect of CPM on swallowing via postoperative VFSS.Methods: We performed a retrospective review of paired preoperative and postoperative VFSS results from 50 patients (36 with ZD and 14 with CPD) over 6 years. Serniquantitative scales were used to assess 1) degree of stasis in the pharyngeal recesses; 2) degree of narrowing at the pharyngoesophageal sphincter (PES); 3) aspiration; and 4) diverticular size. Findings were compared between the groups and across subjects.Results: Pharyngeal stasis was more severe in Subjects with CPD than in subjects with ZD, both before and after CPM (p =.02 and p =.0002, respectively). The CPM improved PES narrowing in both groups (p =.03; p =.06) and reduced diverticular size in the ZD group (p