Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-23T16:10:13.989Z Has data issue: false hasContentIssue false
  • English
  • Français

Effectiveness of endoscopic cricopharyngeal myotomy in adults with neurological disease: systematic review

Published online by Cambridge University Press:  12 December 2016

Ó Gilheaney ,
P Kerr ,
S Béchet  and
M Walshe
Ó Gilheaney*
Affiliation:
Department of Clinical Speech and Language Studies, Trinity College Dublin, Ireland
P Kerr
Affiliation:
School of Medicine, Trinity Biomedical Sciences Institute, Trinity College Dublin, Ireland
S Béchet
Affiliation:
Department of Clinical Speech and Language Studies, Trinity College Dublin, Ireland
M Walshe
Affiliation:
Department of Clinical Speech and Language Studies, Trinity College Dublin, Ireland
*
Address for correspondence: Ms Órla Gilheaney, Department of Clinical Speech and Language Studies, Trinity College Dublin, 7–9 South Leinster Street, Dublin 2, Ireland E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To determine the effectiveness of endoscopic cricopharyngeal myotomy on upper oesophageal sphincter dysfunction in adults with upper oesophageal sphincter dysfunction and neurological disease.

Data sources:

Published and unpublished studies with a quasi-experimental design investigating endoscopic cricopharyngeal myotomy effects on upper oesophageal sphincter dysfunction in humans were considered eligible. Electronic databases, grey literature and reference lists of included studies were systematically searched.

Review methods:

Data were extracted by two independent reviewers. Methodological quality was assessed independently using the PEDro scale and MINORS tool.

Results:

Of 2938 records identified, 2 studies were eligible. Risk of bias assessment indicated areas of methodological concern in the literature. Statistical analysis was not possible because of the limited number of eligible studies.

Conclusion:

No determinations could be made regarding endoscopic cricopharyngeal myotomy effectiveness in the cohort of interest. Reliable and valid evidence on the following is required to support increasing clinical usage of endoscopic cricopharyngeal myotomy: optimal candidacy selection; standardised post-operative management protocol; complications; and endoscopic cricopharyngeal myotomy effects on aspiration of food and laryngeal penetration, mean upper oesophageal sphincter resting pressure and quality of life.

Keywords

Deglutition DisordersEsophageal Sphincter, Upper
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 12 , December 2016 , pp. 1077 - 1085
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the 5th European Society for Swallowing Disorders Congress, 1–3 October 2015, Barcelona, Spain.

References

1 Lawson, G, Bachy, V, Desgain, O, Matar, N, Jamart, J, Remacle, M. Myotomy of the upper esophageal sphincter in swallowing disorders: long term result. Eur Arch Otorhinolaryngol 2011;268:767 Google Scholar
2 Jones, CA, Hammer, MJ, Hoffman, MR, McCulloch, TM. Quantifying contributions of the cricopharyngeus to upper esophageal sphincter pressure changes by means of intramuscular electromyography and high-resolution manometry. Ann Otol Rhinol Laryngol 2014;123:174–82CrossRefGoogle ScholarPubMed
3 Goyal, RK, Martin, SB, Shapiro, J, Spechler, SJ. The role of cricopharyngeus muscle in pharyngoesophageal disorders. Dysphagia 1993;8:252–8CrossRefGoogle ScholarPubMed
4 Campbell, F, Bruce, H, Tuominen, TC, Toohil, RJ. The risk and complications of aspiration following cricopharyngeal myotomy. Am J Med 1997;103:61S–63S CrossRefGoogle ScholarPubMed
5 Lawson, G, Remacle, M. Endoscopic cricopharyngeal myotomy: indications and technique. Curr Opin Otolaryngol Head Neck Surg 2006;14:437–41CrossRefGoogle ScholarPubMed
6 Bergeron, JL, Chhetri, DK. Indications and outcomes of endoscopic CO2 laser cricopharyngeal myotomy. Laryngoscope 2014;124:950–4CrossRefGoogle ScholarPubMed
7 Damrose, EJ, Ho, AS. Endoscopic cricopharyngeal myotomy. Oper Tech Otolaryngol Head Neck Surg 2012;23:144–8CrossRefGoogle Scholar
8 Silver, N, Gal, TJ. Endoscopic CO2 laser management of chemoradiation-related cricopharyngeal stenosis. Ann Otol Rhinol Laryngol 2014;123:252–6CrossRefGoogle ScholarPubMed
9 Pitman, M, Weissbrod, P. Endoscopic CO2 laser cricopharyngeal myotomy. Laryngoscope 2009;119:45–53 CrossRefGoogle ScholarPubMed
10 Linke, R, Bockmuhl, U, Haake, K. Surgical rehabilitation of neuromuscular swallowing disorders with special regard to cricopharyngeal myotomy and glottopexy [in German]. Laryngorhinootologie 2001;80:714–18CrossRefGoogle ScholarPubMed
11 Lawson, G, Remacle, M, Jamart, J, Keghian, J. Endoscopic CO2 laser-assisted surgery for cricopharyngeal dysfunction. Eur Arch Otorhinolaryngol 2003;260:475–80CrossRefGoogle ScholarPubMed
12 Hazarika, P, Parul, P, Kailesh, P, Balakrishnan, R, Hazarika, M, Singh, R et al. KTP laser assisted microendoscopic cricopharyngeal myotomy and web excision for dysphagia management. Indian J Otolaryngol Head Neck Surg 2005;57:290–3CrossRefGoogle ScholarPubMed
13 Singh, S, Hamdy, S. The upper esophageal sphincter. Neurogastroenterol Motil 2005;17(suppl 1):3–12 CrossRefGoogle Scholar
14 Takes, RP, van den Hoogen, FJ, Marres, HA. Endoscopic myotomy of the cricopharyngeal muscle with CO2 laser surgery. Head Neck 2005;27:703–9CrossRefGoogle ScholarPubMed
15 Moher, D, Liberati, A, Tetzlaff, J, Altman, DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009;151:264–9CrossRefGoogle ScholarPubMed
16 De Morton, NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Aust J Physiother 2009;55:129–33CrossRefGoogle ScholarPubMed
17 Bachy, V, Matar, N, Remacle, M, Jamart, J, Lawson, G. Long-term functional results after endoscopic cricopharyngeal myotomy with CO2 laser: a retrospective study of 32 cases. Eur Arch Otorhinolaryngol 2013;270:965–8CrossRefGoogle ScholarPubMed
18 Woisard, V, Lepage, B. The “Deglutition Handicap Index” a self-administrated dysphagia-specific quality of life questionnaire: temporal reliability. Rev Laryngol Otol Rhinol (Bord) 2010;131:19–22 Google Scholar
19 Brøndbo, K. Treatment of cricopharyngeal dysfunction by endoscopic laser myotomy. Acta Otolaryngol Suppl 2000;543:222–4CrossRefGoogle ScholarPubMed
20 Richardson, WS, Wilson, MC, Nishikawa, J, Hayward, RS. The well-built clinical question: a key to evidence-based decisions. ACP J Club 1995;123:12–13 CrossRefGoogle ScholarPubMed
21 Brennan, TA, Leape, LL, Laird, NM, Hebert, L, Localio, AR, Lawthers, AG et al. Incidence of adverse events and negligence in hospitalized patients. N Engl J Med 1991;324:370–6CrossRefGoogle ScholarPubMed
22 Maher, CG, Sherrington, C, Herbert, RD, Moseley, AM, Elkins, M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther 2003;83:713–21CrossRefGoogle ScholarPubMed
23 Slim, K, Nini, E, Forestier, D, Kwiatkowski, F, Panis, Y, Chipponi, J. Methodological index for non-randomized studies (MINORS): development and validation of a new instrument. ANZ J Surg 2003;73:712–16CrossRefGoogle ScholarPubMed
24 Dawe, N, Patterson, J, Hamilton, D, Hartley, C. Targeted use of endoscopic CO2 laser cricopharyngeal myotomy for improving swallowing function following head and neck cancer treatment. J Laryngol Otol 2014;128:1105–10CrossRefGoogle ScholarPubMed
25 Ramsey, DJ, Smithard, DG, Kalra, L. Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke 2003;34:1252–7CrossRefGoogle ScholarPubMed
26 Martin-Harris, B, Brodsky, MB, Michel, Y, Castell, DO, Schleicher, M, Sandidge, J et al. MBS measurement tool for swallow impairment--MBSImp: establishing a standard. Dysphagia 2008;23:392–405 CrossRefGoogle ScholarPubMed
27 Niederman, MS, McCombs, JS, Unger, AN, Kumar, A, Popovian, R. The cost of treating community-acquired pneumonia. Clin Ther 1998;20:820–37CrossRefGoogle ScholarPubMed
28 Kaplan, V, Angus, DC, Griffin, MF, Clermont, G, Watson, R, Linde-Zwirble, WT. Hospitalized community-acquired pneumonia in the elderly: age and sex-related patterns of care and outcome in the United States. Am J Respir Crit Care Med 2002;165:766–72CrossRefGoogle ScholarPubMed
29 Crary, MA, Mann, GD, Groher, ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil 2005;86:1516–20CrossRefGoogle ScholarPubMed
30 Ho, AS, Morzaria, S, Damrose, EJ. Carbon dioxide laser-assisted endoscopic cricopharyngeal myotomy with primary mucosal closure. Ann Otol Rhinol Laryngol 2011;120:33–9CrossRefGoogle ScholarPubMed
31 Sudhakara, MR, Satishchandra, T, Murthy, P. Cricopharyngeal myotomy revisited. Int J Phonosurg Laryngol 2011;1:76–9Google Scholar
32 Vincent, C, Neale, G, Woloshynowych, M. Adverse events in British hospitals: preliminary retrospective record review. BMJ 2001;322:517–19CrossRefGoogle ScholarPubMed
33 Leape, LL, Brennan, TA, Laird, N, Lawthers, AG, Localio, AR, Barnes, BA et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377–84CrossRefGoogle ScholarPubMed
34 Gawande, AA, Thomas, EJ, Zinner, MJ, Brennan, TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999;126:66–75 CrossRefGoogle ScholarPubMed
35 Zeeshan, MF, Dembe, AE, Seiber, EE, Lu, B. Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. Patient Saf Surg 2014;8:23 CrossRefGoogle Scholar
36 Asadi-Lari, M, Tamburini, M, Gray, D. Patients’ needs, satisfaction, and health related quality of life: towards a comprehensive model. Health Qual Life Outcomes 2004;2:32 CrossRefGoogle ScholarPubMed
37 Gervais, M, Dorion, D. Quality of life following surgical treatment of oculopharyngeal syndrome. J Otolaryngol 2003;32:1–5 CrossRefGoogle ScholarPubMed
38 Schulz, KF, Altman, DG, Moher, D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ 2010;340:c332 CrossRefGoogle ScholarPubMed
39 von Elm, E, Altman, DG, Egger, M, Pocock, SJ, Gøtzsche, PC, Vandenbroucke, JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg 2014;12:1495–9CrossRefGoogle ScholarPubMed