耳鼻と臨床
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
嚥下障害症例に対する輪状咽頭筋切除術の意義
小宮山 荘太郎笠 誠一渡辺 宏西納 真介広戸 幾一郎柳内 統
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1977 年 23 巻 3 号 p. 385-390

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Several cases of dysphagia (Wallenberg syndrome 1, amyotrophic lateral sclerosis 1, pseudobulbar paralysis 2, and laryngotracheal trauma 2) were clinically investigated and treated with cricomyotomy. Cineradiographic and electromyographic observations revealed that dysphagia in all cases were caused by some problems in the second stage of deglutition and that the discoordination of hypopharyngeal muscles such as the hyopharyngeus, thyropharyngeus and cricopharyngeus muscle. All cases with cricomyotomy easily swallowed and didn't complain of any discomfort. We assured of its being significant. Furthermore, clinical entities of these various malfunctions were discussed with special reference to their pathogenesis and therapeutic problems.
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