OBJECTIVE The present study aimed to compare outcomes of cricopharyngeal myotomy (CPM) in patients with documented cricopharyngeal dysfunction (CPD) and those in whom the diagnosis is complex or in doubt. MATERIALS AND METHODS Retrospective comparative study of all patients undergoing CPM between 2001 and 2010 at a single UK centre. Patients were classified as having either CPD (n = 15) or no...

This article presents a review of the contribution of the periorbital musculature and brow depressors to the overall brow aesthetics. Special focus is given to the role of transblepharoplasty brow lift as well as myotomy of the corrugator and procerus muscles. The authors' preferred surgical technique and patient results are reviewed in detail.

BACKGROUND/AIM Several uncontrolled studies comparing peroral endoscopic myotomy (POEM) and Heller myotomy have demonstrated equivalent short-term efficacy and safety. However, no data exists rergarding the cost of POEM and how it compares to that of robotic Heller myotomy (RHM). The primary aim of this study was to compare the inpatient charges incurred in patients who underwent POEM or RHM fo...

Since its first description in 19911, laparoscopic Heller myotomy has been associated with better short-term outcomes and shorter recovery time, compared to open operation. Given this high success rate2, it was soon generally accepted as the procedure of choice for achalasia over the nonsurgical treatment options, such as medical treatment with calcium channel blockers or nitroglycerin, endosco...

OBJECTIVE To investigate the results of surgery and long-term follow up in 26 patients who were symptomatic due to myocardial bridge. METHODS From 1999-2004 more than 18800 coronary angiography were performed in the Shahid Madani Heart Hospital, Tabriz, Iran. Of these, 290 (1.5%) cases had angiographic diagnosis of myocardial bridge. Out of the 290 cases, 26 (9%) patients underwent surgical m...

BACKGROUND The named primary esophageal motility disorders (PEMDs) are achalasia, diffuse esophageal spasm (DES), nutcracker esophagus (NE), and hypertensive lower esophageal sphincter (HTN-LES). Although the diagnosis and treatment of achalasia are well defined, such is not the case with the other disorders. HYPOTHESIS (1) Symptoms do not reliably distinguish PEMDs from gastroesophageal refl...

Achalasia is a primary motility disorder with an annual incidence of 0.11 cases/ 100000 children [1]. In the field of natural orifice transluminal endoscopic surgery (NOTES), the peroral endoscopic myotomy (POEM) [2–3] is the only treatment to be performed routinely in humans. We report the case of a 3-year old female patient with Down syndrome who presented with severe growth retardation and w...

The authors aimed to elucidate the indications of transcervical surgical approach and also to review the literature in the treatment of symptomatic Zenker’s diverticulum (ZD), focusing on clear indications for open surgery (diverticulectomy with cricopharyngeal myotomy). The authors analyzed the efficacy of open surgery versus the current standard endoscopic diverticulotomy, focusing on the siz...