[The importance of x-ray cinematography of deglutition for indicating the need for myotomy of the pharyngoesophageal sphincter].
Fourteen patients were examined one to four years after cricopharyngeal myotomy that had been carried out because of dysfunction of the pharyngo-esophageal sphincter. Twelve patients were examined radiologically. Eleven of the 14 patients were clinically improved or cured. In two patients who were not improved, the underlying condition was a polymyositis. The other patients suffered from an idiopathic dysfunction. Because of the small numbers involved, no detailed statistical analysis was carried out. Nevertheless, our results indicate that: Cricopharyngeus myotomy produces marked improvement or cure in patients with idiopathic dysfunction. Weak propulsive peristalsis of the pharyngeal constrictors is a prognostic factor indicating a poor clinical result of surgery. There is little chance of clinical improvement in patients with polymyositis.
D002933:Cineradiography; D003679:Deglutition; D003680:Deglutition Disorders / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D009126:Muscle Relaxation; D009132:Muscles / Q000000981:diagnostic imaging*; D010156:Palatal Muscles / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D011184:Postoperative Period
Die Bedeutung der Röntgenkinematographie des Schluckaktes für die Indikation zur Myotomie des pharyngoösophagealen Sphinkters.