Abstract
The cricopharyngeus is the major functional component of the upper esophageal sphincter. Failure of this sphincter to relax in a coordinated fashion during swallowing is a rare cause of dysphagia in pediatric patients but can lead to significant morbidity. Diagnosis of cricopharyngeal achalasia is typically made with a videofluoroscopic swallow study, with the potential support of other methods such as endoscopy and manometry. There are a number of described techniques for management ranging from dilation to open myotomy.
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References
Kuhn MA, Belafsky PC. Management of cricopharyngeus muscle dysfunction. Otolaryngol Clin N Am. 2013;46(6):1087–99.
Muraji T, Takamizawa S, Satoh S, et al. Congenital cricopharyngeal achalasia: diagnosis and surgical management. J Pediatr Surg. 2002;37(5):E12.
Sasaki CT, Kim YH, Sims HS, Czibulka A. Motor innervation of the human cricopharyngeus muscle. Ann Otol Rhinol Laryngol. 1999;108(12):1132–9.
Brooks A, Millar AJ, Rode H. The surgical management of cricopharyngeal achalasia in children. Int J Pediatr Otorhinolaryngol. 2000;56(1):1–7.
Utian HL, Thomas RG. Cricopharyngeal incoordination in infancy. Pediatrics. 1969;43(3):402–6.
Sewell RK, Bauman NM. Congenital cricopharyngeal achalasia: management with botulinum toxin before myotomy. Arch Otolaryngol Head Neck Surg. 2005;131(5):451–3.
Chun R, Sitton M, Tipnis NA, et al. Endoscopic cricopharyngeal myotomy for management of cricopharyngeal achalasia (CA) in an 18-month-old child. Laryngoscope. 2013;123(3):797–800.
Scholes MA, McEvoy T, Mousa H, Wiet GJ. Cricopharyngeal achalasia in children: botulinum toxin injection as a tool for diagnosis and treatment. Laryngoscope. 2014;124(6):1475–80.
Skinner MA, Shorter NA. Primary neonatal cricopharyngeal achalasia: a case report and review of the literature. J Pediatr Surg. 1992;27(12):1509–11.
Goldani HA, Staiano A, Borrelli O, Thapar N, Lindley KJ. Pediatric esophageal high-resolution manometry: utility of a standardized protocol and size-adjusted pressure topography parameters. Am J Gastroenterol. 2010;105(2):460–7.
Nikaki K, Ooi JL, Sifrim D. Chicago classification of esophageal motility disorders: applications and limits in adults and pediatric patients with esophageal symptoms. Curr Gastroenterol Rep. 2016;18(11):59.
Watanabe T, Shimizu T, Takahashi M, et al. Cricopharyngeal achalasia treated with myectomy and post-operative high-resolution manometry. Int J Pediatr Otorhinolaryngol. 2014;78(7):1182–5.
De Caluwe D, Nassogne MC, Reding R, de Ville de Goyet J, Clapuyt P, Otte JB. Cricopharyngeal achalasia: case reports and review of the literature. Eur J Pediatr Surg. 1999;9(2):109–12.
Kornblum C, Broicher R, Walther E, et al. Cricopharyngeal achalasia is a common cause of dysphagia in patients with mtDNA deletions. Neurology. 2001;56(10):1409–12.
Reichert TJ, Bluestone CD, Stool SE, Sieber WK, Sieber AM. Congenital cricopharyngeal achalasia. Ann Otol Rhinol Laryngol. 1977;86(5 Pt 1):603–10.
Sondheimer JM. Upper esophageal sphincter and pharyngoesophageal motor function in infants with and without gastroesophageal reflux. Gastroenterology. 1983;85(2):301–5.
Huoh KC, Messner AH. Cricopharyngeal achalasia in children: indications for treatment and management options. Curr Opin Otolaryngol Head Neck Surg. 2013;21(6):576–80.
Blank RH, Silbiger M. Cricopharyngeal achalasia as a cause of respiratory distress in infancy. J Pediatr. 1972;81(1):95–8.
Lernau OZ, Sherzer E, Mogle P, Nissan S. Congenital cricopharyngeal achalasia treatment by dilatations. J Pediatr Surg. 1984;19(2):202–3.
Dinari G, Danziger Y, Mimouni M, Rosenbach Y, Zahavi I, Grunebaum M. Cricopharyngeal dysfunction in childhood: treatment by dilatations. J Pediatr Gastroenterol Nutr. 1987;6(2):212–6.
Erdeve O, Kologlu M, Saygili B, Atasay B, Arsan S. Primary cricopharyngeal achalasia in a newborn treated by balloon dilatation: a case report and review of the literature. Int J Pediatr Otorhinolaryngol. 2007;71(1):165–8.
Hurwitz M, Bahar RJ, Ament ME, et al. Evaluation of the use of botulinum toxin in children with achalasia. J Pediatr Gastroenterol Nutr. 2000;30(5):509–14.
Barnes MA, Ho AS, Malhotra PS, Koltai PJ, Messner A. The use of botulinum toxin for pediatric cricopharyngeal achalasia. Int J Pediatr Otorhinolaryngol. 2011;75(9):1210–4.
Kaplan S. Paralysis of deglutition, a post-poliomyelitis complication treated by section of the cricopharyngeus muscle. Ann Surg. 1951;133(4):572–3.
Martin N, Prince JM, Kane TD, Goyal A, Mehta D. Congenital cricopharyngeal achalasia in a 4.5-year-old managed by cervical myotomy: a case report. Int J Pediatr Otorhinolaryngol. 2011;75(2):289–92.
Halvorson DJ, Kuhn FA. Transmucosal cricopharyngeal myotomy with the potassium-titanyl-phosphate laser in the treatment of cricopharyngeal dysmotility. Ann Otol Rhinol Laryngol. 1994;103(3):173–7.
Brondbo K. Treatment of cricopharyngeal dysfunction by endoscopic laser myotomy. Acta Otolaryngol Suppl. 2000;543:222–4.
Dauer E, Salassa J, Iuga L, Kasperbauer J. Endoscopic laser vs open approach for cricopharyngeal myotomy. Otolaryngol Head Neck Surg. 2006;134(5):830–5.
Pitman M, Weissbrod P. Endoscopic CO2 laser cricopharyngeal myotomy. Laryngoscope. 2009;119(1):45–53.
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Bedwell, J.R. (2018). Cricopharyngeal Dysfunction in Children. In: Ongkasuwan, J., Chiou, E. (eds) Pediatric Dysphagia. Springer, Cham. https://doi.org/10.1007/978-3-319-97025-7_17
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