Iwanaga Ken, Fujishima Ichiro, Omori Koichi
Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-Cho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Shizuoka, Japan.
Eur Arch Otorhinolaryngol. 2023 Dec;280(12):5655-5660. doi: 10.1007/s00405-023-08225-0. Epub 2023 Sep 14.
Cricopharyngeal myotomy and laryngeal framework surgery can improve swallowing function in patients with severe dysphagia. We developed a novel surgical technique for severe dysphagia associated with pharyngolaryngeal paralysis and cricopharyngeal dysfunction, performed under local anesthesia, and investigated its effectiveness.
We included nine patients who underwent cricopharyngeal muscle-origin transection with laryngeal framework surgery through a horizontal skin incision under local anesthesia.
All patients demonstrated significant improvement in the Food Intake LEVEL Scale without complications. Thus, this surgical technique may serve as a useful and less invasive treatment option for patients with severe dysphagia.
环咽肌切开术和喉框架手术可改善严重吞咽困难患者的吞咽功能。我们开发了一种针对与咽喉麻痹和环咽肌功能障碍相关的严重吞咽困难的新型手术技术，该技术在局部麻醉下进行，并对其有效性进行了研究。
我们纳入了9例患者，这些患者在局部麻醉下通过水平皮肤切口接受了环咽肌起点横断术及喉框架手术。
所有患者的食物摄入水平量表均有显著改善，且无并发症。因此，这种手术技术可能是严重吞咽困难患者一种有用且侵入性较小的治疗选择。
