Work

Gold Laser Cricopharyngeal Myectomy for Cricopharyngeal Dysfunction

Year: 2025

Type: article

Abstract: OBJECTIVES: To describe cricopharyngeal myectomy (CPMec) with Gold laser for the treatment of CP bar with Zenker's diverticulum and evaluate long-term outcomes of CPMec with Gold laser, utilizing quantitative fluoroscopic measures, dietary grading, and patient-reported metrics. METHODS: of muscle and mucosa. Demographic data, Eating Assessment Tool-10 scores, and videofluoroscopic swallow study (VFSS) parameters were compared pre- and postsurgery. RESULTS: Eighty-four patients underwent 90 successfully completed CPMec with Gold laser. EAT-10 scores decreased from mean of 20 to 2 (SD 9, p < 0.00) following surgery. Mean opening of the pharyngoesophageal segment (PESmax) improved from 0.56 to 0.86 cm (SD 0.4, p < 0.007), pharyngeal constriction ratio (PCR) improved from 0.15 to 0.09 (SD 0.1, p < 0.000) and bolus clearance ratio (BCR) improved from 16% residue to 4% (SD 6%, p < 0.000) following surgery. Six recurrences occurred (6.7%) and all were successfully treated with further CPMec (completion rate 90/92, 98%). Four (4.4%) post-operative leaks occurred, and all were managed conservatively. CONCLUSION: CPMec with Gold laser is safe, achievable, and provides significant symptomatic and objective improvement in swallowing for those with CP bar and Zenker's diverticulum. Removal of tissue reduces recurrence rates following CPMec and does not increase chances of adverse events.

Source: The Laryngoscope

DOI: 10.1002/lary.32225

Authors: Jacqui Allen, Brian Yeom, Shakeela Saleem, Rebecca Hammond, Anna Miles

Institutions: University of Auckland, Health New Zealand, Counties Manukau District Health Board

Language: English

Topic: Dysphagia Assessment and Management

Subfield: Speech and Hearing

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,840