Cricopharyngeal myotomy and arytenoid adduction in the patients with skull base injury

Abstract

We performed cricopharyngeal myotomy and arytenoid adduction in patients with skull base injury. Case 1: 58 years of age, male. He fell from the ladder and admitted to the nearby hospital on February 9^th in 2000. He suffered from dysphagia and hoarseness six days after the accident. He was diagnosed as traumatic lower cranial nerves paralysis by the neurologist at Kyushu University. He was admitted to the department of neurosurgery at our hospital on February 21^st in 2000. He came to our office on February 28^th. We observed paralysis of soft palate and vocal cords on both sides and restricted tongue movement on both sides. He was admitted to our department on May 22^nd and underwent cricopharyngeal myotomy and arytenoid adduction on the left side under general anesthesia on May 26^th. He was discharged free from dysphagia and hoarseness on June 9^th. Case 2: 52 years of age, female. She fell from the pickup and admitted to the nearby hospital. She suffered from dysphagia and hoarseness right after the accident. She came to our office on March 12^th in 2003. We heard rhinolalia aperta and breathy hoarseness and observed soft palate and vocal cord paralysis on the left side. She was admitted to our department on March 27^th on 2003 and underwent cricopharyngeal myotomy on both sides and arytenoid adduction on the left side on April 4^th. She was discharged free from dysphagia and hoarseness on May 6^th.