title: Surgical treatment of pharyngoesophageal spasm.
abstract: The clinical course of 17 laryngectomees with pharyngoesophageal spasm who underwent pharyngeal myotomy was studied to determine clinical response and complications. The influence of speech therapy on the development of volitional control of pharyngoesophageal spasm, tracheoesophageal speech fluency, and the efficacy and complications of surgical treatment for pharyngoesophageal spasm were assessed. Volitional control of tracheoesophageal speech was never achieved. Ninety-four percent of the patients (16/17) were successfully rehabilitated following surgical therapy. The complications following pharyngeal myotomy were acceptable.
authors.affiliation: Division of Otolaryngology--Head and Neck Surgery, Scott and White Clinic, Scott and White Memorial Hospital, Temple, TX 76508.
authors.forename: R F
authors.initials: RF
authors.lastname: Baugh
authors.forename: S R
authors.initials: SR
authors.lastname: Baker
authors.forename: J S
authors.initials: JS
authors.lastname: Lewin
mesh_terms: D015155:Esophageal Spasm, Diffuse / Q000601:surgery*; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000534:rehabilitation*; D008297:Male; D009132:Muscles / Q000601:surgery*; D010609:Pharyngeal Muscles / Q000601:surgery*; D013071:Speech, Alaryngeal / Q000379:methods*