지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 77 - 81 (5page)
이용수
초록· 키워드
오류제보하기
Dysphagia may result from dysfunction of any of the components involved in the complex neuromuscular interaction of swallowing. Hyperfunction of any of the muscles involved in swallowing is a frequent cause of dysphagia. The cricopharyngeus muscle (CPM) is a key component of the upper esophageal sphincter. Cricopharyngeus muscle dysfunction (CPD) refers to the muscle's failure to appropriately and completely relax or expand during deglutition. A variety of disease processes may cause CPD and accurate diagnosis is paramount for appropriate treatment. In appropriately selected patients, intervention at the CPM may yield significant improvement in dysphagia. Interventions include nonsurgical, pharyngoesophageal segment dilatation, botulinum toxin (BoNT) injection, and criccopharyngeal myotomy. Injections of BoNT in patients with CPD have been reported to result in marked relief of dysphagia. Different techniques for instilling BoNT into the CPM have been described. Awake, in-office CPM BoNT injection with electromyography and/or fluoroscopic or ultrasound guidance is performed transcervically or via flexible endoscopy. Operative CPM BoNT injection involves rigid laryngoscopy and esophagoscopy with direct visualization of the CPM. BoNT should be prepared in low-volume, high-concentration dilutions to minimize the potential for undesired diffusion of the toxin. The effects of BoNT occur within weeks of injection and typically last up to 5 or 6 months.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Kuhn MA / 2013 / Management of cricopharyngeus muscle dysfunction / Otolaryngol Clin North Am 46(6):1087~1099
Kocdor P / 2016 / Cricopharyngeal dysfunction : a systematic review comparing outcomes of dilatation, botulinum toxin injection, and myotomy / Laryngoscope 126(1):135~141
Schneider I / 1994 / Treatment of dysfunction of the cricopharyngeal muscle with botulinum A toxin : introduction of a new, noninvasive method / Ann Otol Rhinol Laryngol 103(1):31~35
Moerman MB / 2006 / Cricopharyngeal Botox injection : indications and technique / Curr Opin Otolaryngol Head Neck Surg 14(6):431~436
Wang YC / 2018 / Ultrasound-guided injection of botulinum toxin for cricopharyngeal dysphagia / Am J Phys Med Rehabil 97(10):e102~e103
Kocdor P / 2016 / Cricopharyngeal dysfunction : a systematic review comparing outcomes of dilatation, botulinum toxin injection, and myotomy / Laryngoscope 126(1):135~141
Schneider I / 1994 / Treatment of dysfunction of the cricopharyngeal muscle with botulinum A toxin : introduction of a new, noninvasive method / Ann Otol Rhinol Laryngol 103(1):31~35
Moerman MB / 2006 / Cricopharyngeal Botox injection : indications and technique / Curr Opin Otolaryngol Head Neck Surg 14(6):431~436
Wang YC / 2018 / Ultrasound-guided injection of botulinum toxin for cricopharyngeal dysphagia / Am J Phys Med Rehabil 97(10):e102~e103
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