ArticleThe Laryngoscope2025
Gold Laser Cricopharyngeal Myectomy for Cricopharyngeal Dysfunction.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Gold Laser Cricopharyngeal Myectomy for Cricopharyngeal Dysfunction.The Laryngoscope · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe cricopharyngeal myectomy (CPMec) with Gold laser for the treatment of CP bar with Zenker's diverticulum and evaluate long-term outcomes of CPMec with Gold laser, utilizing quantitative fluoroscopic measures, dietary grading, and patient-reported metrics.
methodsAll patients undergoing CPMec with Gold laser over a 14-year period were evaluated. CPMec entails division of the diverticulum septum with removal of approximately 1 cm
resultsEighty-four patients underwent 90 successfully completed CPMec with Gold laser. EAT-10 scores decreased from mean of 20 to 2 (SD 9, p < 0.00) following surgery. Mean opening of the pharyngoesophageal segment (PESmax) improved from 0.56 to 0.86 cm (SD 0.4, p < 0.007), pharyngeal constriction ratio (PCR) improved from 0.15 to 0.09 (SD 0.1, p < 0.000) and bolus clearance ratio (BCR) improved from 16% residue to 4% (SD 6%, p < 0.000) following surgery. Six recurrences occurred (6.7%) and all were successfully treated with further CPMec (completion rate 90/92, 98%). Four (4.4%) post-operative leaks occurred, and all were managed conservatively.
conclusionCPMec with Gold laser is safe, achievable, and provides significant symptomatic and objective improvement in swallowing for those with CP bar and Zenker's diverticulum. Removal of tissue reduces recurrence rates following CPMec and does not increase chances of adverse events. LEVEL OF EVIDENCE: 4:
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