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J Korean Soc Laryngol Phoniatr Logop > Volume 22(1); 2011 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2011;22(1): 52-55.
보톡스 주입술로 치료된 윤상인두 연하장애 1예
최규영, 노영수, 이동진, 정은재
한림대학교 의과대학 이비인후-두경부외과학교실
A Case of Cricopharyngeal Dysphagia Treated by Botulinum Toxin Injection
Kyu-Young Choi, Young-Soo Rho, Dong-Jin Lee, Eun-Jae Chung
Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hallym University
ABSTRACT
Hyperfunction of the upper esophageal sphincter (UES) can cause severe dysphagia. This condition referred as cricopharyngeal dysphagia may occur after head and neck surgery due to altered muscle spasm and stenosis of the pharyngo-esophageal segment. Among various treatment options available, Botulinum toxin A (Botox) injection offers a nonsurgical treatment which is useful especially for debilitated patients, and there has been a recent increase in the clinical use of Botox by otolaryngologists for managing such conditions. A 55-year-old male with base of tongue (BOT) cancer suffered from severe dysphagia after total glossectomy and neck dissection treatment. Videofluoroscopic swallow study (VFSS) and flexible endoscopic evaluation of swallowing (FEES) showed inability to pass food through the UES due to cricopharyngeal spasm. After injection of 10 U of Bot ox into each cricopharyngeus muscles (total 20 U) via EMG-guided percutaneous injection, swallowing function had improved and oral nutrition was possible, with food passing through the UES visualized on VFSS and FEES.
KEY WORDS: Dysphagia;Upper esophageal sphincter;Botulinum toxin;Swallowing;
중심 단어: 연하곤란;상부식도괄약근;보툴리눔독소;연하;
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