Document Detail


Evaluation of swallowing pressure in a patient with amyotrophic lateral sclerosis before and after cricopharyngeal myotomy using high-resolution manometry system.
MedLine Citation:
PMID:  20172669     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This study aimed to evaluate the pharyngeal pressure of a patient with, amyotrophic lateral sclerosis (ALS) before and after cricopharyngeal myotomy by high-resolution manometry (HRM) system. METHODS: A 60-year-old man with ALS underwent cricopharyngeal myotomy for his intractable, aspiration. The swallowing pressure along the velopharynx and upper esophagus was measured using, the HRM 1 month before and 3 months after the surgery. RESULTS: Before cricopharyngeal myotomy, the maximum values of the resting UES pressure, the dry swallowing, pressures in the velopharyngeal muscle zone and in the UES zone were 89, 95, and 171 mmHg, respectively. After surgery, the maximum values of both the resting pressure and dry swallowing, pressure in the UES zone remarkably decreased to 21 and 75 mmHg, respectively. CONCLUSIONS: This is the first report showing the effect of cricopharyngeal myotomy by demonstrating, the difference in the swallowing pressure along the velopharynx and upper esophagus before and after, the surgery in an ALS patient using this HRM system.
Authors:
Kenji Takasaki; Hiroshi Umeki; Kaori Enatsu; Hidetaka Kumagami; Haruo Takahashi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-02-20
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  37     ISSN:  1879-1476     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-05-14     Completed Date:  2010-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  644-7     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. ktakasa@nagasaki-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Amyotrophic Lateral Sclerosis / physiopathology*,  surgery*
Deglutition / physiology*
Deglutition Disorders / physiopathology*,  surgery*
Fluoroscopy
Follow-Up Studies
Humans
Male
Manometry / methods*
Middle Aged
Pharyngeal Muscles / surgery*
Signal Processing, Computer-Assisted*
Software
Video Recording

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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