In the September 1999 issue of the ARCHIVES, Jacobs et al1 conclude that cricopharyngeal myotomy performed during head and neck cancer resection fails to improve postoperative dysphagia. As a result of this finding, the authors suggest that there is no indication for prospective myotomy in patients undergoing major head and neck cancer surgery. They also dispute the value of myotomy in other circumstances. However, we question the impact of these conclusions, which were based on the findings of videofluoroscopic examinations alone.
Spiegel JR, Albright JT. The Failure of Cricopharyngeal Myotomy to Improve Postoperative Dysphagia: Is Videofluoroscopic Diagnosis Adequate?. Arch Otolaryngol Head Neck Surg. 2000;126(6):804. doi:10.1001/archotol.126.6.804