{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:15:13Z","timestamp":1772990113349,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["22K09736"],"award-info":[{"award-number":["22K09736"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Transoral swallowing surgery (TOSS) based on endoscopic cricopharyngeal myotomy (ECPM) in combination with fat injection laryngoplasty (FIL) and\/or pharyngeal flap surgery (PFS) is a useful treatment option for pharyngeal dysphagia. However, no quantitative evaluation method has been established to predict surgical outcomes. This study aimed to clarify swallowing pressure conditions that affect the outcome of TOSS for pharyngeal dysphagia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010two patients with pharyngeal dysphagia who had undergone high\u2010resolution manometry before and after TOSS were enrolled. TOSS procedures included ECPM alone in 8 patients, ECPM+FIL in 5, and ECPM+FIL\u2009+\u2009PFS in 9. Good surgical outcome (GS) was defined as achieving a functional oral intake scale (FOIS) level of \u2265\u20094 on a 7\u2010point scale or an improvement in FOIS level by \u2265\u20092 for those with a preoperative level of 4 or 5. Manometric data in the nasopharyngeal, oropharyngeal, hypopharyngeal, oro\u2010hypopharyngeal, and upper esophageal sphincter (UES) zones were compared between patients with and without GS (GS and non\u2010GS groups, respectively) and by procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean pre\u2010 to postoperative FOIS levels in the GS group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914) and non\u2010GS group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098) ranged from 2.6 to 5.7 and 3.3 to 3.8, respectively. There were significant differences between the GS and non\u2010GS groups in distal contractile integrals (DCIs) of the oropharynx and oro\u2013hypopharynx. All postoperative pharyngeal pressures and DCIs of the pharynx were increased, whereas those related to the UES were decreased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our manometric analysis revealed that preoperative oropharyngeal pressure is a factor influencing the outcome of TOSS, regardless of UES pressure. TOSS can produce efficient postoperative pressure changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70225","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T10:59:57Z","timestamp":1761821997000},"page":"1357-1366","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Manometric Pattern Predicts the Outcome of Transoral Swallowing Surgery for Pharyngeal Dysphagia"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9307-2331","authenticated-orcid":false,"given":"Shun\u2010ichi","family":"Chitose","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mioko","family":"Fukahori","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7990-7590","authenticated-orcid":false,"given":"Fumihiko","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachiyo","family":"Hamakawa","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2414-7034","authenticated-orcid":false,"given":"Takeharu","family":"Ono","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6537-4490","authenticated-orcid":false,"given":"Kiminobu","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2347-495X","authenticated-orcid":false,"given":"Hirohito","family":"Umeno","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5415-0176","authenticated-orcid":false,"given":"Kiminori","family":"Sato","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Kurume University School of Medicine  Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.06.001"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195104000-00021"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000021498"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016487409126379"},{"key":"e_1_2_7_6_1","first-page":"235","article-title":"\u00dcber eine neue Methode der Staphylorrhaphie","volume":"4","author":"Schoenborn K.","year":"1875","journal-title":"Verhandlungen Der Deutschen Gesellschaft F\u00fcr Chirurgie"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-194810000-00008"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180686590"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700804"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12175555"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5426\/larynx.32.8"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300302"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21362"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.12927"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199105000-00003"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2019.08.003"},{"key":"e_1_2_7_17_1","volume-title":"Manual for the Videofluorographic Study of Swallowing","author":"Logemann J. 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