Surgical Innovations in Dysphagia Management

Abstract

Purpose of Review: Discuss current surgical advancements and options in the management of swallowing disorders and dysfunction. Recent Findings: A wide range of surgical procedures can be considered for management of deglutitive disorders and is determined by underlying pathology. Novel options include endoluminal access for cricopharyngeal myotomy (Z-POEM), stem cell application in tongue regeneration and improving salivary gland function, and bioengineering approaches to vocal fold regeneration to assist in airway protection. Additional novel surgical procedures are needed to address the complexities of swallowing disorders. Summary: Surgical airway protection, removal of obstruction to flow and enhancement of bolus dynamics offer different ways to improve swallowing. Practitioners are improving current techniques and exploring additional options including bioengineering approaches, endoluminal surgery and airway protection. There is still room for innovation in surgical swallow management as current options remain limited.