In the present case, we removed the existing hardware while performing an open approach diverticulectomy with CP
myotomy and then reinforced the repair with a left forearm fascia free flap.
Laparoscopic surgery to treat achalasia is called the Heller
Myotomy, a two hour procedure requiring up to six small incisions in the abdomen to divide the esophageal muscle.
Of the 10 patients who underwent
myotomy, all 10 had improved cricopharyngeal function on postoperative videofluorographic studies.
(b) ANIDIAN (Web2), DEICIDE, EDIFIED, ESTATES, ICHTHIC (cham),
MYOTOMY, REAWARE (Web2), SHABASH, TENENTE
This data is supported by anatomopathologic specimens from CP
myotomy in patients with GERD who showed mild-to-severe muscle fibrosis.
Stent implantation, minimally invasive coronary artery by-pass grafting (CABG) and surgical
myotomy are alternative approaches in nonresponsive patients to the medical treatment (4-5).
In general surgery, robotic systems have enhanced laparoscopic Heller
myotomy, esophagectomy, pancreatectomy, pyloroplasty when performed at the time of antireflux surgery, and fashioning the posterior suture lines of Toupet fundoplication.
This procedure is called a
myotomy and is preformed by an otolaryngologist-head and neck surgeon.
Currently, forceful endoscopic pneumatic balloon dilatation (PBD) and laparoscopic Heller
myotomy (LHM) with or without an anti-reflux procedure are the standard of care in achalasia treatment (2).
One patient with II type achalasia in our study showed reduced bolus retention after performing peroral endoscopic
myotomy and even exhibited proximal esophageal contraction (Figures 2(a) and 2(b)).
The role of fibrin sealants throughout surgery is expanding and the use of fibrin has been described to line the repair of cricopharyngeal
myotomy and in tracheal lacerations [9, 10].
Temporalis
myotomy with coronoidectomy has also been suggested.
The definitive treatment of ZD requires excision of the diverticulum and a cricopharyngeal
myotomy. We report a case of ZD in an old female patient with the diagnostic approach and review of literature.
The condyle was liberated from lateral pterygoid via
myotomy and the capsule via dissection, the whole of the right side of affected mandible with the lesion was sent en toto for histopathological examination (Figure 7).
Patients in both groups had undergone cricopharyngeal
myotomy and unilateral pharyngeal neurectomy.
