In‐Office Injection for Retrograde Cricopharyngeal Dysfunction Treatment

The Laryngoscope 2026

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Authors: Michael J Lahiff, Rachel B. Kutler, Michael Jay Pitman, Hayley L. Born
DOI: 10.1002/lary.70456
Cited by: 1
References: 7

Abstract

This "How I Do It" article details an in-office, EMG-guided modified lateral transcervical botulinum toxin injection into the cricopharyngeus muscle for retrograde cricopharyngeal dysfunction. It highlights patient positioning, surface landmarking, and EMG confirmation of correct needle placement using swallow and sniff maneuvers. The technique provides a rapid office-based alternative to the operating room approach and includes practical counseling on expected side effects and the common need for a planned contralateral injection when initial benefit is incomplete or wanes.

Fields of Study & Subjects

Dysphagia Assessment and Management Botulinum Toxin and Related Neurological Disorders Temporomandibular Joint Disorders

Publication details

Journal / source
The Laryngoscope
Publisher
Wiley
Volume
136
Issue
6
Pages
2681–2683
Publication date
23 February 2026
Language
EN