PMID- 36004798
OWN - NLM
STAT- MEDLINE
DCOM- 20221102
LR  - 20230917
IS  - 1531-6998 (Electronic)
IS  - 1068-9508 (Linking)
VI  - 30
IP  - 6
DP  - 2022 Dec 1
TI  - Anterior cervical spine surgery and dysphagia.
PG  - 417-421
LID - 10.1097/MOO.0000000000000845 [doi]
AB  - PURPOSE OF REVIEW: The purpose of this review is to summarize current evidence 
      regarding dysphagia in anterior cervical spine surgeries (ACSS) and to present 
      recent advances in evaluation and surgical technique. RECENT FINDINGS: Various 
      risk factors for dysphagia have been identified, and they include female sex, 
      smoking history, prior surgery and cervical lordotic angle. EAT-10 is a validated 
      tool for the assessment of individuals with dysphagia post-ACSS. Local 
      intraoperative corticosteroid application significantly reduced the incidence and 
      magnitude of dysphagia in four out of five studies that were reviewed. 
      Individuals who had undergone cervical disc replacement (CDR) and revision 
      surgery by a zero-profile anchored spacer (ROI-C) device experienced less 
      dysphagia than those who had anterior cervical discectomy with fusion (ACDF). 
      Videofluoroscopic swallow study (VFSS) after ACSS demonstrated pharyngeal 
      weakness and increased posterior pharyngeal wall thickness, while no other 
      abnormality was found. SUMMARY: Different technique variations can reduce 
      dysphagia severity in individuals undergoing ACSS. Surgeons are encouraged to 
      continue performing randomized control studies to assist in choosing the most 
      favourable technique for the patient.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Nachalon, Yuval
AU  - Nachalon Y
AD  - Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel 
      Aviv Sourasky Medical Center.
AD  - Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20220810
PL  - United States
TA  - Curr Opin Otolaryngol Head Neck Surg
JT  - Current opinion in otolaryngology & head and neck surgery
JID - 9417024
SB  - IM
MH  - Female
MH  - Humans
MH  - *Deglutition Disorders/epidemiology
MH  - Cervical Vertebrae/diagnostic imaging/surgery
MH  - Postoperative Complications/etiology/prevention & control
MH  - Diskectomy/adverse effects/methods
MH  - *Spinal Fusion/adverse effects/methods
MH  - Treatment Outcome
EDAT- 2022/08/26 06:00
MHDA- 2022/11/03 06:00
CRDT- 2022/08/25 06:33
PHST- 2022/08/26 06:00 [pubmed]
PHST- 2022/11/03 06:00 [medline]
PHST- 2022/08/25 06:33 [entrez]
AID - 00020840-202212000-00005 [pii]
AID - 10.1097/MOO.0000000000000845 [doi]
PST - ppublish
SO  - Curr Opin Otolaryngol Head Neck Surg. 2022 Dec 1;30(6):417-421. doi: 
      10.1097/MOO.0000000000000845. Epub 2022 Aug 10.