title: Endoscopic laser cricopharyngeal myotomy to salvage tracheoesophageal voice after total laryngectomy.
abstract: Development of voice after tracheoesophageal puncture, following laryngectomy, is sometimes hampered by spasm of the cricopharyngeal muscle. This problem has been addressed by various means, including bougienage, botulinum toxin injection, and open surgical division of the muscle. We believe that endoscopic carbon dioxide laser cricopharyngeal myotomy represents a direct, simple, and effective solution.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 61053, USA.
authors.forename: R W
authors.initials: RW
authors.lastname: Bastian
authors.forename: K
authors.initials: K
authors.lastname: Muzaffar
mesh_terms: D002245:Carbon Dioxide; D003413:Cricoid Cartilage / Q000601:surgery*; D004724:Endoscopy; D006801:Humans; D007825:Laryngectomy; D053685:Laser Therapy; D011184:Postoperative Period; D013071:Speech, Alaryngeal
chemical_list: D002245:Carbon Dioxide