title: Long-term results of cricopharyngeal myotomy in oculopharyngeal muscular dystrophy.
abstract: OBJECTIVE
  To analyze long-term results of extramucosal cricopharyngeal myotomy in oculopharyngeal muscular dystrophy.
  
  
  METHODS
  The preoperative and postoperative evaluations including symptoms, type of feeding, weight, and functional examinations were retrospectively evaluated in 39 patients. Results were defined postoperatively as successful, partial, or failed.
  
  
  METHODS
  University hospital.
  
  
  RESULTS
  In the short term, 25 patients showed a complete remission of symptoms, 10 showed a marked improvement, and 4 exhibited no improvement at all (success rate of 90%). Long-term evaluation during a mean follow-up of 4 years showed that of the 35 improved patients, 12 exhibited a recurrence of dysphagia (mean time of 39 months). In 3 of these 12 patients, a revision transmucosal endoscopic cricopharyngeal myotomy was performed with a successful outcome in 2. Of the 4 patients who initially showed no improvement, 1 was improved by transmucosal myotomy.
  
  
  CONCLUSIONS
  Extramucosal cricopharyngeal myotomy improves dysphagia in oculopharyngeal muscular dystrophy patients during the first few years but one third of the patients exhibited a recurrence of symptoms within 3 years. Revision by transmucosal endoscopic myotomy may be performed.
  
  
  METHODS
  C-4.
authors.affiliation: Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-faciale, UFR Médecine Pierre et Marie Curie, Université Paris 6, Hôpital Tenon, 4 rue de la Chine, 75020 Paris, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Coiffier
authors.forename: Sophie
authors.initials: S
authors.lastname: Périé
authors.forename: Pascal
authors.initials: P
authors.lastname: Laforêt
authors.forename: Bruno
authors.initials: B
authors.lastname: Eymard
authors.forename: Jean Lacau
authors.initials: JL
authors.lastname: St Guily
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000209:etiology / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D049631:Esophageal Sphincter, Upper / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D039141:Muscular Dystrophy, Oculopharyngeal / Q000150:complications* / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome