Endoscopic cricopharyngeal myotomy for management of cricopharyngeal achalasia (CA) in an 18-month-old child.

Authors :: Chun R
Sitton M
Tipnis NA
Arvedson JC
Rao A
Dranove J
Brown DJ
Source :: The Laryngoscope [Laryngoscope] 2013 Mar; Vol. 123 (3), pp. 797-800. Date of Electronic Publication: 2012 Sep 18.
Publication Year :: 2013
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.<br /> (Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.)

Subjects :: Anti-Dyskinesia Agents therapeutic use
Botulinum Toxins therapeutic use
Combined Modality Therapy
Cricoid Cartilage abnormalities
Deglutition Disorders physiopathology
Esophageal Sphincter, Upper drug effects
Esophageal Sphincter, Upper physiopathology
Esophagoscopy methods
Humans
Infant
Male
Manometry
Pharyngeal Muscles abnormalities
Pharyngeal Muscles surgery
Pharynx abnormalities
Cricoid Cartilage surgery
Deglutition Disorders surgery
Pharynx surgery

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