Dysphagia surgery: Difference between revisions
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==Overview== | ==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] | 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] | ||
==Surgical Treatment of Oropharyngeal Dysphagia== | ==Surgical Treatment of Oropharyngeal Dysphagia== | ||
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* [[Tracheotomy]] | * [[Tracheotomy]] | ||
** Used for chronic aspiration | ** Used for chronic aspiration | ||
** The four major types of percutaneous tracheotomy: | ** The four major types of percutaneous tracheotomy:<ref name="pmid3996056">{{cite journal| author=Ciaglia P, Firsching R, Syniec C| title=Elective percutaneous dilatational tracheostomy. A new simple bedside procedure; preliminary report. | journal=Chest | year= 1985 | volume= 87 | issue= 6 | pages= 715-9 | pmid=3996056 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3996056 }} </ref><ref name="pmid9142576">{{cite journal| author=Fantoni A, Ripamonti D| title=A non-derivative, non-surgical tracheostomy: the translaryngeal method. | journal=Intensive Care Med | year= 1997 | volume= 23 | issue= 4 | pages= 386-92 | pmid=9142576 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9142576 }} </ref><ref name="BelangerAkulian2014">{{cite journal|last1=Belanger|first1=Adam|last2=Akulian|first2=Jason|title=Interventional Pulmonology in the Intensive Care Unit: Percutaneous Tracheostomy and Gastrostomy|journal=Seminars in Respiratory and Critical Care Medicine|volume=35|issue=06|year=2014|pages=744–750|issn=1069-3424|doi=10.1055/s-0034-1395504}}</ref><ref name="pmid2343371">{{cite journal| author=Griggs WM, Worthley LI, Gilligan JE, Thomas PD, Myburg JA| title=A simple percutaneous tracheostomy technique. | journal=Surg Gynecol Obstet | year= 1990 | volume= 170 | issue= 6 | pages= 543-5 | pmid=2343371 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2343371 }} </ref> | ||
*** Ciaglia's dilation over guidewire | *** Ciaglia's dilation over guidewire | ||
*** Grigg's modification employing guidewire dilating forceps | *** Grigg's modification employing guidewire dilating forceps | ||
Revision as of 14:41, 1 February 2018
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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]
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..
- Tracheotomy
- Used for chronic aspiration
- The four major types of percutaneous tracheotomy:[1][2][3][4]
- Ciaglia's dilation over guidewire
- Grigg's modification employing guidewire dilating forceps
- Fantoni's translaryngeal tracheotomy, in which the tracheostomy tube is pulled from inside the trachea to outside at once without the need for serial dilation
- PercuTwist method, which utilizes a screw-in dilator
- Tracheostomy
- Vocal fold augmentation/injection
- Thryoplasty medialization
- Arytenoid adduction
- Partial or total laryngectomy
- Laryngotracheal separation
- Supralaryngetomy
- Palatoplasty
- Cricopharyngeal Myotomy
- Percutaneous endoscopic gastrostomy
Contraindications
Surgical Treatment of Esophageal Dysphagia
- Surgical treatment of esophageal dysphagia is dependent on the underlying cause of dysphagia.
- Please click on each medical condition listed below to read about the management.
- Peptic stricture
- Esophageal rings and webs
- Esophageal cancer
- Achalasia
- Spastic motility disorders
- Diffuse esophageal spasm
- Nutcracker esophagus
- Hypertensive lower esophageal sphincter
- Nonspecific spastic esophageal motility disorders
References
- ↑ Ciaglia P, Firsching R, Syniec C (1985). "Elective percutaneous dilatational tracheostomy. A new simple bedside procedure; preliminary report". Chest. 87 (6): 715–9. PMID 3996056.
- ↑ Fantoni A, Ripamonti D (1997). "A non-derivative, non-surgical tracheostomy: the translaryngeal method". Intensive Care Med. 23 (4): 386–92. PMID 9142576.
- ↑ Belanger, Adam; Akulian, Jason (2014). "Interventional Pulmonology in the Intensive Care Unit: Percutaneous Tracheostomy and Gastrostomy". Seminars in Respiratory and Critical Care Medicine. 35 (06): 744–750. doi:10.1055/s-0034-1395504. ISSN 1069-3424.
- ↑ Griggs WM, Worthley LI, Gilligan JE, Thomas PD, Myburg JA (1990). "A simple percutaneous tracheostomy technique". Surg Gynecol Obstet. 170 (6): 543–5. PMID 2343371.