Management of cricopharyngeal achalasia in an 8-month child using endoscopic cricopharyngeal myotomy.

Abstract

A term baby was transferred to our tertiary care center with desaturations and inability to manage upper airway secretions. Rigid bronchoscopy and swallowing study revealed cricopharyngeal (CP) achalasia. A gastrostomy tube insertion and Botulinum Toxin-A injection were performed at 6 weeks of age. Improvement of symptoms was observed, however were short-lived requiring recurrent injections. Given the symptom severity, at 8 months, a successful endoscopic CP myotomy was performed. Patient was able to tolerate oral feeds as early as 2 months post-operatively. This is the youngest patient, to our knowledge, treated with endoscopic CP myotomy. Intraoperative pictures and video are presented.

• Authors: Cinzia Marchica, Faisal Zawawi, Sam J Daniel
• Journal: International journal of pediatric otorhinolaryngology (Int J Pediatr Otorhinolaryngol) Vol. 101 Pg. 137-140 (Oct 2017) ISSN: 1872-8464 [Electronic] Ireland
• PMID: 28964284 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2017. Published by Elsevier B.V.

Chemical References

• Botulinum Toxins, Type A

Topics

• Botulinum Toxins, Type A (therapeutic use)
• Cricoid Cartilage (surgery)
• Deglutition
• Endoscopy (methods)
• Esophageal Achalasia (surgery)
• Female
• Humans
• Infant
• Male
• Pharyngeal Diseases (diagnosis, surgery)
• Pharyngeal Muscles (surgery)