Dysphagia surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Feham Tariq, MD [2], Hamid Qazi, MD, BSc [3]

Overview

Surgery is not the first-line treatment option for patients with dysphagia. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]

Indications

• Surgery is not the first-line treatment option for patients with dysphagia. Surgery is usually reserved for patients with either:
  • [Indication 1]
  • [Indication 2]
  • [Indication 3]

Surgical Treatment of Oropharyngeal Dysphagia

Surgical treatments are usually only recommended as a last resort and is dependent on the underlying cause of dysphagia.

• Zenker's Diverticulectomy
  • Surgery is the most definitive therapy for the Zenker's diverticulum..
  • Please click here to read about the management of Zenker's Diverticulum.
• Tracheotomy
• Tracheostomy
• Vocal fold augmentation/injection
• Thryoplasty medialization
• Arytenoid adduction
• Partial or total laryngectomy
• Laryngotracheal separation
• Supralaryngetomy
• Palatoplasty
• Cricopharyngeal Myotomy
• Percutaneous endoscopic gastrostomy

Surgical Treatment of Esophageal Dysphagia

Surgical treatment of esophageal dysphagia is dependent on the underlying cause of dysphagia.

• Peptic stricture
• Esophageal rings and webbs
• Esophageal cancer
• Achalasia
• Spastic motility disorders
  • Diffuse esophageal spasm
  • Nutcracker esophagus
  • Hypertensive lower esophageal sphincte
  • Nonspecific spastic esophageal motility disorders