Cricopharyngeal muscle origin transection for oropharyngeal dysphagia, a novel surgical technique.
Cricopharyngeal muscle origin transection for oropharyngeal dysphagia, a novel surgical technique.
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环咽肌起源横断术治疗口咽吞咽困难，是一种新颖的手术技术。
DOI：
10.1007/s00405-022-07588-0
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Yamawaki M.
中科院分区：
文献类型：
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作者：
Kanazawa H;Fujishima I;Ohno T;Kunieda K;Shigematu T;Yamawaki M.
背景环咽肌切开术通过切除环咽肌来改善咽部吞咽困难。方法我们的手术，环咽肌起点横断术（CPM-OT）是在局部麻醉下通过环状软骨水平的中线皮肤切口进行的。结论 16 名患者表现出声带运动的保留，而没有喉神经损伤 在使用声门闭合技术进行防误吸手术期间，在清醒状态下进行 CPM-OT 后立即进行。术后吞咽电视荧光镜检查显示所有患者环咽杆消失，食团的咽部通道和食物摄入水平量表均有所改善。 CPM-OT 是一种可行且侵入性较小的治疗选择。
BackgroundCricopharyngeal myotomy improves pharyngeal dysphagia by resecting the cricopharyngeal muscle.MethodsOur procedure, cricopharyngeal muscle origin transection (CPM-OT) is performed through a midline skin incision at the cricoid cartilage level under local anesthesia.ConclusionsSixteen patients demonstrated preservation of vocal fold movement without laryngeal nerve injury immediately after CPM-OT in the awake state during aspiration prevention surgery using the glottic closure technique. Postoperative videofluoroscopic examination of swallowing revealed the cricopharyngeal bar was absent and pharyngeal passage of the bolus and Food Intake LEVEL Scale was improved in all patients. CPM-OT is a feasible and less invasive treatment option.