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We report a 3-year-old patient with suspected oropharyngeal graft-versus-host disease (GVHD) who developed progressive dysphagia to solids and liquids. The patient has a history of Dyskeratosis Congenita-Hoyeraal-Hreidarsson Syndrome with associated bone marrow failure requiring a nonmyeloablative matched sibling hematopoietic stem cell transplant. Esophagram revealed significant narrowing in the cricopharyngeal region.
View Article and Find Full Text PDFCricopharyngeal achalasia in children: botulinum toxin injection as a tool for diagnosis and treatment.
Laryngoscope
June 2014
Department of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, Colorado; Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado.
Objectives/hypothesis: Characteristics and outcomes of pediatric patients undergoing cricopharyngeus injection with botulinum toxin for the treatment of cricopharyngeal achalasia were reviewed. A parental telephone survey was performed to assess improvement and satisfaction.
Study Design: Retrospective review of patients who underwent injection of the cricopharyngeus with botulinum toxin for cricopharyngeal achalasia.
Congenital cricopharyngeal achalasia in a 4.5-year-old managed by cervical myotomy: a case report.
Int J Pediatr Otorhinolaryngol
February 2011
Division of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh, PA, United States.
Introduction: Congenital cricopharyngeal achalasia (CCA) is a rare disorder in children characterized by inappropriate contraction of the cricopharyngeus muscle, resulting in the inability to relax the upper esophageal sphincter during deglutition. We report the diagnostic process and management of a relatively older patient who underwent cricopharyngeal myotomy at the age of 4.5 years.
View Article and Find Full Text PDFCricopharyngeal myotomy for the treatment of cricopharyngeal achalasia.
J Pediatr Surg
August 2009
The Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi 110029, India.
Three cases of cricopharyngeal achalasia are being presented. The preoperative diagnosis was established by a contrast swallow. Cricopharyngeal myotomy was performed in all patients.
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