XXXX laser-assisted endoscopic cricopharyngeal myotomy with primary mucosal closure.

@entity1 @entity190 @entity409 @entity33 @entity1764 @entity260 @entity2415 @entity1282 @entity544
OBJECTIVES: @entity544 laser-assisted endoscopic cricopharyngeal myotomy (ECPM) has emerged as a viable therapy for @entity1282 . The risks of the procedure include pharyngoesophageal perforation and @entity1764 , which may discourage adoption of this technique. To address these complications, we examined outcomes of ECPM with primary mucosal closure. METHODS: A case series of 7 @entity1 who underwent ECPM between 2006 and 2008 were reviewed for length of operation, length of hospitalization, @entity260 , and outcomes by use of the M. D. Anderson @entity1282 Index (MDADI) and the Functional Outcome Swallowing Scale (FOSS). The results were compared to those of a control group of 7 @entity1 treated during the same period via open cricopharyngeal myotomy. RESULTS: All @entity1 who had ECPM were treated successfully without complications. The operative times averaged 128 minutes. The hospitalization averaged 2.1 days. Statistically significant improvements in swallowing were seen (MDADI score from 51.3 to 77.7, p < 0.0006; FOSS score from 3.7 to 1.3, p < 0.0005), and were similar to those in the @entity1 who had the open procedure (FOSS score from 3.0 to 1.0, p <0.006). Trends toward decreased @entity190 , a shorter hospital stay, and a lower complication rate were observed in the @entity1 who had ECPM. CONCLUSIONS: ECPM is beneficial as a primary treatment for @entity409 . Closure of the @entity33 may help reduce the incidence of postoperative cervical @entity2415 and @entity1764 , and does not appear to compromise functional outcome.
