Quality of Life Following Surgical Treatment of Oculopharyngeal Syndrome

Gervais, Mireille; Dorion, Dominique

doi:10.2310/7070.2003.35190

Cited by 10 publications

(3 citation statements)

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“…These authors found that endoscopic cricopharyngeal myotomy significantly improved psychosocial well-being, as measured using the Deglutition Handicap Index 18 . Gervais and Dorion 37 investigated QoL outcomes in patients presenting with oculopharyngeal syndrome who underwent open or transcervical cricopharyngeal myotomy or blepharoplasty. They reported significant QoL improvements following open or transcervical cricopharyngeal myotomy.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of endoscopic cricopharyngeal myotomy in adults with neurological disease: systematic review

et al. 2016

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No determinations could be made regarding endoscopic cricopharyngeal myotomy effectiveness in the cohort of interest. Reliable and valid evidence on the following is required to support increasing clinical usage of endoscopic cricopharyngeal myotomy: optimal candidacy selection; standardised post-operative management protocol; complications; and endoscopic cricopharyngeal myotomy effects on aspiration of food and laryngeal penetration, mean upper oesophageal sphincter resting pressure and quality of life.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of endoscopic cricopharyngeal myotomy in adults with neurological disease: systematic review

et al. 2016

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“…La miotomía consigue una disminución de la presión de reposo del EES y del tiempo de relajación sin alterar los parámetros de motilidad faríngeos ni esofágicos 3,7,8 . Tras el acto quirúrgico los pacientes presentan una mejor calidad de vida, habiéndose demostrado que se acorta el tiempo dedicado a la ingesta 9 , con disminución o desaparición de la disfagia para sóli-dos así como del resto de los síntomas faringoesofágicos y traqueo-bronquiales 3 . El tratamiento quirúrgico presenta una tasa de éxito a largo plazo que varía entre el 70% y el 93%, y aquellos pacientes que presenten síntomas de forma persistente o recurrente pueden ser candidatos a una reintervención con tasas de morbi-mortalidad aceptables y mejoría de los síntomas en la mayoría de los casos…”

Section: Discussionunclassified

Distrofia muscular oculofaríngea: Tratamiento quirúrgico

Yárnoz

et al. 2009

Rev Chil Cir

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Surgical treatment of oculopharyngeal muscular dystrophy. Report of two casesOculopharyngeal muscular dystrophy (OPMD) is a rare myopathy that is characterized by ocular and pharyngeal muscle involvement. OPMD typically presents with ptosis, dysarthria, and dysphagia. It can also be associated with proximal and distal extremity weakness. We report two patients with the disease. A 79 years old female presenting with ptosis, dysphagia and a history of three aspiration pneumonias. The patient was subjected to a myotomy of the cricopharyngeal muscle of 4.5 cm of length. The patient had a symptomatic improvement and is in good conditions five months after the operation. A 75 years old male presenting with dysphagia and ptosis. He was operated, performing a myotomy of the cricopharyngeal muscle of 3.5 cm of length. Two and a half months after operation the patient is devoid of dysphagia.Key words: Oculopharyngeal muscular dystrophy, myotomy, PABPN1 gen. ResumenLa distrofia muscular oculofaríngea (DMOF) es una enfermedad de carácter hereditario, que cursa con disfagia, ptosis palpebral y debilidad proximal de las extremidades. Para su valoración la realización de manometría y estudio radiológico contrastado pueden ser de gran utilidad a pesar de que el diagnóstico de seguridad se obtiene por el estudio genético del gen PABPN1 del cromosoma 14. La enfermedad se desarrolla al sufrir este gen pequeñas expansiones en el triplete (GCG)7-13. Presentamos dos pacientes diagnosticados genéticamente de DMOF, uno de herencia autosómica dominante y otro de herencia autosómica recesiva, ambos tratados mediante miotomía del cricofaringeo debido a la intensidad de la disfagia. En ambos casos se obtuvo una mejoría clínica evidente después de la intervención.Palabras clave: Distrofia muscular oculofaríngea, miotomía del cricofaríngeo, gen PABPN1.

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“…Recent studies were able to show that OPMD cases in Canada can be traced back to a small group of French immigrants [3]. To date OPMD has been reported in over 20 countries with an incidence so low; it has not yet been appraised [3,4]. …”

Section: Discussionmentioning

confidence: 99%

Oculopharyngeal muscular dystrophy as a rare differential diagnosis for unexplained dysphagia: a case report

2009

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IntroductionWe wish to report on a rare cause of dysphagia; oculopharyngeal muscular dystrophy (OPMD). It is a late adult onset autosomal dominant form of muscular dystrophy that constitutes as a rare diagnosis for any place outside of Canada and first case in southern Germany.Case presentationWe report the medical odyssey of a 57-year old male Caucasian patient. He was referred at our hospital for further clarification of a progressive dysphagia, which, at first view, was thought to be tumor related due to the patient's typical anamnesis.ConclusionThe present report outlines the importance of considering this rare disease for general medicine practitioners as well as head and neck specialists as a differential diagnosis for swallowing disorders with, even at second view, uncertain cause.

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Quality of Life Following Surgical Treatment of Oculopharyngeal Syndrome

Cited by 10 publications

References 0 publications

Effectiveness of endoscopic cricopharyngeal myotomy in adults with neurological disease: systematic review

Effectiveness of endoscopic cricopharyngeal myotomy in adults with neurological disease: systematic review

Distrofia muscular oculofaríngea: Tratamiento quirúrgico

Oculopharyngeal muscular dystrophy as a rare differential diagnosis for unexplained dysphagia: a case report

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