From the Research
Myotomy in Laryngectomies
- The necessity of myotomy in all laryngectomies is not universally established, as studies suggest it may be beneficial in certain cases, but not all 1, 2, 3, 4, 5.
- Cricopharyngeal myotomy has been shown to reduce pharyngoesophageal spasm and facilitate vocal rehabilitation and tracheoesophageal speech in post-laryngectomy patients 2, 4.
- Studies have reported improved speech outcomes with myotomy, including increased rates of functional tracheoesophageal speech 2, 5.
- Myotomy may also help minimize postoperative fistulization and eliminate dysphagia of cricopharyngeus spasm 4.
- However, myotomy is not without complications, and careful patient selection and education are necessary to manage expectations and outcomes 2, 5.
Indications for Myotomy
- Myotomy may be indicated in cases where pharyngoesophageal spasm is a significant concern, or where vocal rehabilitation is a priority 2, 4.
- Cricopharyngeal myotomy has been associated with improved postoperative voice in patients undergoing total laryngectomy for the dysfunctional larynx 5.
- The decision to perform myotomy should be made on a case-by-case basis, taking into account individual patient needs and circumstances 1, 3.