{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:26:52Z","timestamp":1777562812695,"version":"3.51.4"},"reference-count":3,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T00:00:00Z","timestamp":1555286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>Dermatomyositis is a rare multisystem autoimmune disorder occasionally accompanied by dysphagia. It is typically treated with immune modulating agents; however, dysphagia is often unresponsive to these. Previous reports have demonstrated the utility of videoflouroscopy and manometry in understanding the etiologies of dysphagia to inform a procedural target, historically the cricopharyngeus muscle. We present a case of dermatomyositis and dysphagia resistant to medical management in a patient found by videoflouroscopy and manometry to have severe oropharyngeal dysphagia, esophageal dysmotility and a cricopharyngeal web. We demonstrate the utility and safety of upper esophageal sphincter dilation by transnasal esophagoscopy even in the setting of multifactorial dysphagia.<\/jats:p>","DOI":"10.1177\/0145561319842511","type":"journal-article","created":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T01:40:10Z","timestamp":1555378810000},"page":"NP142-NP143","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Upper Esophageal Sphincter Dilation for Recalcitrant Dysphagia Secondary to Dermatomyositis"],"prefix":"10.1177","volume":"98","author":[{"given":"Mallory J.","family":"Raymond","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy L.","family":"McColloch","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne L.","family":"Hatcher","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,15]]},"reference":[{"key":"bibr1-0145561319842511","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-205127"},{"key":"bibr2-0145561319842511","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1978.88.1.147"},{"key":"bibr3-0145561319842511","doi-asserted-by":"publisher","DOI":"10.4065\/82.4.441"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561319842511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0145561319842511","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561319842511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:37:29Z","timestamp":1777401449000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145561319842511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,15]]},"references-count":3,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1177\/0145561319842511"],"URL":"https:\/\/doi.org\/10.1177\/0145561319842511","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,15]]}}}