Faculty Collaboration Database

Endoscopic cricopharyngeal myotomy for management of cricopharyngeal achalasia (CA) in an 18-month-old child. Laryngoscope 2013 Mar;123(3):797-800

Date

09/20/2012

Pubmed ID

22991054

DOI

10.1002/lary.23545

Scopus ID

2-s2.0-84874410837 (requires institutional sign-in at Scopus site)   15 Citations

Abstract

A 6-month-old patient presented with dysphagia and failure to thrive. Video fluoroscopic swallow study (VFSS), esophagogastroduodenoscopy, and manometry were diagnostic for CA. A gastrostomy tube was placed at 8 months. Botulinum toxin injection improved symptoms, but within 10 weeks symptoms returned. At 18 months, an uncomplicated endoscopic CPM was performed. A postoperative VFSS demonstrated cricopharyngeal bar resolution. Within 3 months, patient was feeding orally without a G tube. Pediatric CPA treatment options consist of dilation, botox, and transcervical CPM. To our knowledge, this is the youngest patient treated with endoscopic CPM. Intraoperative video and photographs are presented.

Author List

Chun R, Sitton M, Tipnis NA, Arvedson JC, Rao A, Dranove J, Brown DJ

Author

Robert H. Chun MD Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Anti-Dyskinesia Agents
Botulinum Toxins
Combined Modality Therapy
Cricoid Cartilage
Deglutition Disorders
Esophageal Sphincter, Upper
Esophagoscopy
Humans
Infant
Male
Manometry
Pharyngeal Muscles
Pharynx