Dysphagia is usually treated by nonsurgical matters. Some entities however warrant surgery to treat a specific problem or to augment nonsurgical management. Surgical treatment of swallowing disorders may aim to improve the functional mechanisms of the sphincters, to improve propulsive force, or to reduce intra- or extraluminal obstruction. Some patients require gastrostomy to secure the route for feeding and tracheotomy to aid in the management of the aspiration. Tracheotomy, on the other side, has a negative effect on laryngeal elevation and subglottic pressure contributing to dysphagia. A surgical separation of airway from the foodway provides palliation for those with intractable aspiration.
Surgical therapy for dysphagia is safe and effective for many causes of dysphagia or aspiration in selected clinical scenarios.
KeywordsDysphagia Surgery Tracheostomy Aspiration Sphincter Propulsive force
Otorhinolaryngologist-head and neck surgeon
Upper esophageal sphincter
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