@@Laryngopedia Absolutely! I was actually watching your explanation of the pharyngeal constrictors in a video from 14 years ago, and then checked out this video - it almost brought me to tears - I didn't believe it was the same person, honestly. Hope you had an exciting and enjoyable career thus far, doctor.
Hello, I am Ali. I live in London. I have a problem with my throat. I cannot swallow. I cough while eating. I constantly have to clear my throat. I went to many doctors here in London. They could not solve my problem. I follow you on UA-cam. How can we meet you?
Hello Dr. Bastian, I have frequently read that dysphagia usually recurs years after surgery. If this occurs, can the cricopharyngeal myotomy be performed again?
The 2 primary explanations I have encountered in a large series: 1) that the prior surgeon did not perform a complete myotomy and or 2) it is now many years later, the individual is truly elderly, and having trouble not with the sphincter but with the vigor of the propulsive side of swallowing.
Hello Sir! Let me ask you a question. I may be expecting this procedure and I am concerned about one question. Some doctors say that the UES protects the lungs from reflux and food and it can be dangerous to cut this muscle. On the other hand I have read that this does not happen. Please tell me your opinion on this from the height of your experience. Thank you!
Oh, and I also have strictures in the UES region. I had a dilation 6 months ago, which helped. But after the last one (a month ago) I didn't feel any improvement, although there was no restenosis
Can a patient in advanced years with dementia and dysphagia from a stroke have this procedure to reverse it? Our father has been admitted to the hospital for a stroke and subsequently, his swallowing function is very impaired. Can not swallow apple sauce more than 2-3 teaspoon without regurgitation. We're wondering if this is the end or if he can possibly be with the family for a few more years yet Cognitively he's very non-communicative verbally, but will interact visually. Is procedure viable for someone in his position? Due to his age (91) and dementia, the doctors are ready to write him off.
It is so hard when parents are elderly... Your father would have to have good propulsive ability ('pitcher') and clear antegrade cricopharyngeus dysfunction proven on xray swallow study. And he'd need to be motivated and healthy enough for general anesthesia. See also "Swallowing Trouble 101." ua-cam.com/video/_dBPKBg8jXM/v-deo.html
Thanks is there and differance between Globus pharngeus and cricopharngeal spasm . I feel that pills stay delayed in the sphincter . Feeling always a like small ball in the throat ..this even bother my sleep .
i swallowed something while looking straight down over a week ago.i felt pain in my throat and the food like moved the thyroid cartilage / hyoid bone out the way. i think they went back into place but since then i can’t swallow solids: they stay in my throat and can’t move down!!!!! could this be this????? i have no issue with liquids. liquid barium showed it went down fine. but solids sit in my throat! i have to drink heaps of water to get it down!
I have the most trouble getting any ENT to believe me.
Watched your video from 14 years ago, you look very young in that. Times change! Wow!
Time and tide wait for no person! 🙂
@@Laryngopedia Absolutely!
I was actually watching your explanation of the pharyngeal constrictors in a video from 14 years ago, and then checked out this video - it almost brought me to tears - I didn't believe it was the same person, honestly.
Hope you had an exciting and enjoyable career thus far, doctor.
@@blackwhite5879
So kind of you! Yes, and many more years...
How often is this surgery made more difficult by prior ACDF Instrumentation (C4-5,C5-6) and Anterior Airway?
Difficult anatomy makes it harder, and one must be very carful not to expose hardware...
Hello, I am Ali. I live in London. I have a problem with my throat. I cannot swallow. I cough while eating. I constantly have to clear my throat. I went to many doctors here in London. They could not solve my problem. I follow you on UA-cam. How can we meet you?
Hello Ali! Dr. Bastian offers Zoom conversations (aka Teleconversation). You can learn more here: laryngopedia.com/video-conversation/
Hello Dr. Bastian, I have frequently read that dysphagia usually recurs years after surgery. If this occurs, can the cricopharyngeal myotomy be performed again?
The 2 primary explanations I have encountered in a large series: 1) that the prior surgeon did not perform a complete myotomy and or 2) it is now many years later, the individual is truly elderly, and having trouble not with the sphincter but with the vigor of the propulsive side of swallowing.
@@Laryngopedia Thanks a lot for your explanation.
I want to contact with you doctor in order to visit your clinic
Of course! Send an email request to info@laryngopedia.com
Hello Sir! Let me ask you a question. I may be expecting this procedure and I am concerned about one question. Some doctors say that the UES protects the lungs from reflux and food and it can be dangerous to cut this muscle. On the other hand I have read that this does not happen. Please tell me your opinion on this from the height of your experience. Thank you!
Oh, and I also have strictures in the UES region. I had a dilation 6 months ago, which helped. But after the last one (a month ago) I didn't feel any improvement, although there was no restenosis
Thank you Dr 🙏🏼
Can a patient in advanced years with dementia and dysphagia from a stroke have this procedure to reverse it? Our father has been admitted to the hospital for a stroke and subsequently, his swallowing function is very impaired. Can not swallow apple sauce more than 2-3 teaspoon without regurgitation.
We're wondering if this is the end or if he can possibly be with the family for a few more years yet Cognitively he's very non-communicative verbally, but will interact visually. Is procedure viable for someone in his position?
Due to his age (91) and dementia, the doctors are ready to write him off.
It is so hard when parents are elderly... Your father would have to have good propulsive ability ('pitcher') and clear antegrade cricopharyngeus dysfunction proven on xray swallow study. And he'd need to be motivated and healthy enough for general anesthesia. See also "Swallowing Trouble 101." ua-cam.com/video/_dBPKBg8jXM/v-deo.html
Thanks is there and differance between Globus pharngeus and cricopharngeal spasm .
I feel that pills stay delayed in the sphincter . Feeling always a like small ball in the throat ..this even bother my sleep .
I am diagnosing myself, and I think I have this, and most likely achalasia
please dr. I am facing such difficulties. In Bangladesh there is no experienced dr here. I want to visit you... What should i do?
So sorry to hear that. Send an email to info@laryngopedia.com with your request.
Hi Dr Bastian, i have tried to book a zoom call consultation on your website but is not workig
So sorry! Just send your inquiry to info@laryngopedia.com and someone will help you!
i swallowed something while looking straight down over a week ago.i felt pain in my throat and the food like moved the thyroid cartilage / hyoid bone out the way. i think they went back into place but since then i can’t swallow solids: they stay in my throat and can’t move down!!!!! could this be this????? i have no issue with liquids. liquid barium showed it went down fine. but solids sit in my throat! i have to drink heaps of water to get it down!
i’ve also had a small hernia there (killian jamieson diverticulum) which i haven’t got removed as i got used to it…..