Journal article
Cricopharyngeal achalasia associated with laryngomalacia as a cause of failure to thrive
Journal of laryngology and otology, Vol.132(9), pp.852-855
09/01/2018
DOI: 10.1017/S0022215118000713
PMID: 29909783
Abstract
Objective. To describe a case of concurrent cricopharyngeal achalasia with laryngomalacia as a cause of failure to thrive, and to review the literature and management options of cricopharyngeal achalasia in the paediatric population.
Methods. A chart review was performed on a four-month-old male, referred for failure to thrive, and diagnosed with cricopharyngeal achalasia and laryngomalacia. A PubMed and Embase search for "cricopharyngeal achalasia' and laryngomalacia' was conducted. A review of reported paediatric cricopharyngeal achalasia patients, with emphasis on management options, was undertaken.
Results. A flexible laryngoscopic examination confirmed the laryngomalacia diagnosis, and videofluoroscopic evaluation of swallowing demonstrated cricopharyngeal achalasia via a cricopharyngeal bar. Supraglottoplasty was performed, with botulinum toxin injection into the cricopharyngeus muscle, with resultant improvement in oral intake and resolution of failure to thrive. The literature review revealed no reported case of the combined pathologies as a cause of failure to thrive.
Conclusion. Functional endoscopic evaluation of swallowing and videofluoroscopic evaluation of swallowing are complimentary in the evaluation of paediatric patients with failure to thrive and suspected oropharyngeal dysphagia. Both supraglottoplasty and botulinum toxin injection are effective for definitive management in cases of combined pathology, and can be safely performed in a single surgical setting.
Details
- Title: Subtitle
- Cricopharyngeal achalasia associated with laryngomalacia as a cause of failure to thrive
- Creators
- V. Givens - Department of Otolaryngology,Louisiana State University,Children's Hospital New Orleans,USA.K. Brent - Department of Pediatric Gastroenterology,Louisiana State University,Children's Hospital New Orleans,USA.M. Dunham - Department of Otolaryngology,Louisiana State University,Children's Hospital New Orleans,USA.S. P. Kanotra - Department of Otolaryngology,Louisiana State University,Children's Hospital New Orleans,USA.
- Resource Type
- Journal article
- Publication Details
- Journal of laryngology and otology, Vol.132(9), pp.852-855
- Publisher
- Cambridge Univ Press
- DOI
- 10.1017/S0022215118000713
- PMID
- 29909783
- ISSN
- 0022-2151
- eISSN
- 1748-5460
- Number of pages
- 4
- Language
- English
- Date published
- 09/01/2018
- Academic Unit
- Stead Family Department of Pediatrics; Otolaryngology
- Record Identifier
- 9984312248302771
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