At Medikeri’s Super Speciality ENT Centre, we offer expert surgical solutions like Cricopharyngeal Myotomy for patients experiencing difficulty swallowing due to upper esophageal sphincter dysfunction. Our ENT and head & neck specialists are equipped with advanced techniques to ensure safe and effective treatment.

PROCEDURE OVERVIEW

Cricopharyngeal Myotomy involves cutting the cricopharyngeus muscle at the top of the esophagus to relieve the tightness or spasm that impedes swallowing. It is commonly performed in cases of cricopharyngeal achalasia, Zenker’s diverticulum, or after a stroke causing swallowing dysfunction.

ANESTHESIA & PREPARATION

The procedure is conducted under general anesthesia. Patients undergo thorough diagnostic assessments including barium swallow studies, esophagoscopy, and sometimes manometry to confirm the diagnosis and plan the approach. Preoperative counseling is provided to prepare for surgery and recovery.

SURGICAL TECHNIQUES

The surgery can be performed through a traditional open neck incision or using an endoscopic approach. In both methods, the tight cricopharyngeal muscle is carefully divided to allow easier passage of food from the throat to the esophagus. The choice of approach depends on the patient’s anatomy and associated conditions.

MINIMALLY INVASIVE APPROACHES

Endoscopic Cricopharyngeal Myotomy is preferred when feasible, offering faster recovery, no external scars, and minimal postoperative discomfort. This approach uses a laser or stapler to divide the muscle internally under direct visualization.

CLOSURE & RECOVERY

In open surgeries, the incision is sutured after confirming muscle division. In endoscopic procedures, no external closure is needed. Patients are monitored for airway safety, and feeding typically begins with liquids before progressing to soft foods.

POST-SURGICAL CARE

Patients receive specific dietary guidelines and are monitored for improvement in swallowing. Voice and swallowing therapy may be recommended as part of the rehabilitation process. Regular follow-ups help assess the success of the procedure and long-term outcomes.

CONCLUSION

At Medikeri’s Super Speciality ENT Centre, Cricopharyngeal Myotomy is performed with precision and care to restore normal swallowing function. Our patient-focused approach ensures optimal recovery and lasting relief from swallowing difficulties.