Skip to main content
Log in

Long-term functional results after endoscopic cricopharyngeal myotomy with CO2 laser: a retrospective study of 32 cases

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript


Endoscopic cricopharyngeal myotomy (ECPM) with CO2 laser is indicated in cases with swallowing disorders when a dysfunction of the cricopharyngeal muscle is diagnosed. We present the results of a retrospective study including 32 of the 65 consecutive patients who underwent ECPM in our center between 2002 and 2009. The aim of this study is to evaluate the postoperative complications and complaints, the improvement of swallowing after surgery, the global satisfaction of the surgery and the swallowing improvement according to the deglutition handicap index (DHI). No major postoperative complication was reported. Postoperative pain was present in 46.9 % of the patients and estimated on an analog scale at 4.4/10. For the others, this surgery was painless. Improvement in swallowing liquids was present in 75 % of the patients and 81 % of the patients could swallow solids. The overall patients’ satisfaction on a scale of 10 was 7.2; if needed, 83.9 % of the patients would do the surgery again. Concerning the DHI, we report a significant improvement of all items except the last one. ECPM is a safe procedure which provides improvement of symptoms and satisfaction for the majority of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Crestani S, Moerman M, Woisard V (2011) The “Deglutition Handicap Index” a self-administrated dysphagia-specific quality of life questionnaire: sensibility to change. Rev Laryngol Otol Rhinol 132(1):3–7 Epub 2011/10/08

    CAS  Google Scholar 

  2. Woisard V, Andrieux MP, Puech M (2006) Validation d’un questionnaire d’auto-evaluation du handicap pour les troubles de la deglutition oropharyngee (Deglutition Handicap Index). Rev Laryngol Otol Rhinol 127(5):315–325 Epub 2007/04/12

    CAS  Google Scholar 

  3. Lawson G, Remacle M, Jamart J, Keghian J (2003) Endoscopic CO2 laser-assisted surgery for cricopharyngeal dysfunction. Eur Arch Otorhinolaryngol 260(9):475–480 Epub 2003/05/14

    Article  PubMed  Google Scholar 

  4. Lawson G, Remacle M (2006) Endoscopic cricopharyngeal myotomy: indications and technique. Curr Opin Otolaryngol Head Neck Surg 14(6):437–441 Epub 2006/11/14

    Article  PubMed  Google Scholar 

  5. Brondbo K (2000) Treatment of cricopharyngeal dysfunction by endoscopic laser myotomy. Acta Otolaryngol Suppl 543:222–224 Epub 2000/07/26

    Article  PubMed  CAS  Google Scholar 

  6. Halvorson DJ, Kuhn FA (1994) Transmucosal cricopharyngeal myotomy with the potassium-titanyl-phosphate laser in the treatment of cricopharyngeal dysmotility. Ann Otol Rhinol Laryngol 103(3):173–177 Epub 1994/03/01

    PubMed  CAS  Google Scholar 

  7. Takes RP, Van den Hoogen FJ, Marres HA (2005) Endoscopic myotomy of the cricopharyngeal muscle with CO2 laser surgery. Head Neck 27(8):703–709 Epub 2005/05/12

    Article  PubMed  Google Scholar 

  8. Kelly JH (2000) Management of upper esophageal sphincter disorders: indications and complications of myotomy. Am J Med 108(Suppl 4a):43S–46S Epub 2000/03/16

    Article  PubMed  Google Scholar 

  9. Herberhold C, Walther EK (1995) Endoscopic laser myotomy in cricopharyngeal achalasia. Adv Otorhinolaryngol 49:144–147 Epub 1995/01/01

    PubMed  CAS  Google Scholar 

  10. Dauer E, Salassa J, Iuga L, Kasperbauer J (2006) Endoscopic laser vs open approach for cricopharyngeal myotomy. Otolaryngol Head Neck Surg 134(5):830–835 Epub 2006/05/02

    Article  PubMed  Google Scholar 

  11. Yip HT, Leonard R, Kendall KA (2006) Cricopharyngeal myotomy normalizes the opening size of the upper esophageal sphincter in cricopharyngeal dysfunction. Laryngoscope 116(1):93–96 Epub 2006/02/17

    Article  PubMed  Google Scholar 

  12. Pitman M, Weissbrod P (2009) Endoscopic CO2 laser cricopharyngeal myotomy. Laryngoscope 119(1):45–53 Epub 2009/01/02

    Article  PubMed  Google Scholar 

  13. Woisard V, Lepage B (2010) The “Deglutition Handicap Index” a self-administrated dysphagia-specific quality of life questionnaire: temporal reliability. Rev Laryngol Otol Rhinol 131(1):19–22 Epub 2010/11/17

    CAS  Google Scholar 

Download references

Conflict of interest


Author information

Authors and Affiliations


Corresponding author

Correspondence to Vincent Bachy.

Additional information

This subject was accepted for oral presentation at the annual meeting of the French Society of ENT, Paris, France, October 17, 2010.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bachy, V., Matar, N., Remacle, M. et al. Long-term functional results after endoscopic cricopharyngeal myotomy with CO2 laser: a retrospective study of 32 cases. Eur Arch Otorhinolaryngol 270, 965–968 (2013).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: