PMID- 8997826
OWN - NLM
STAT- MEDLINE
DCOM- 19970213
LR  - 20220311
IS  - 0179-051X (Print)
IS  - 0179-051X (Linking)
VI  - 12
IP  - 1
DP  - 1997 Winter
TI  - Dysphagia following anterior cervical spine surgery.
PG  - 2-8; discussion 9-10
AB  - Although previous reports have identified dysphagia as a potential complication 
      of anterior cervical spine surgery (ACSS), current understanding of the nature 
      and etiologies of ACSS-related dysphagia remains limited. The present study was 
      undertaken to describe the patterns of dysphagia that may occur following ACSS. 
      Thirteen patients who exhibited new-onset dysphagia following ACSS were studied 
      retrospectively by means of chart review and videofluoroscopic swallow study 
      analysis. Results indicated that a variety of swallowing impairments occurred 
      following ACSS. In 2 patients, prevertebral soft tissue swelling near the 
      surgical site, deficient posterior pharyngeal wall movement, and impaired upper 
      esophageal sphincter opening were the most salient videofluoroscopic findings. In 
      another 5 patients, the pharyngeal phase of swallowing was absent or very weak, 
      with resulting aspiration in 3 cases. In contrast, an additional 4 patients 
      exhibited deficits primarily of the oral preparatory and oral stages of 
      swallowing including deficient bolus formation and reduced tongue propulsive 
      action. Finally, 2 patients exhibited impaired oral preparatory and oral phases, 
      a weak pharyngeal swallow, as well as prevertebral swelling. Thus, a variety of 
      swallowing deficits, due possibly to neurological and/or soft tissue injuries, 
      may occur following ACSS.
FAU - Martin, R E
AU  - Martin RE
AD  - Department of Speech-Language Pathology, Toronto Hospital, Ontario, Canada.
FAU - Neary, M A
AU  - Neary MA
FAU - Diamant, N E
AU  - Diamant NE
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Dysphagia
JT  - Dysphagia
JID - 8610856
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Cervical Vertebrae/injuries/*surgery
MH  - Cineradiography
MH  - Deglutition
MH  - Deglutition Disorders/diagnostic imaging/*etiology/physiopathology
MH  - Edema/diagnostic imaging/etiology
MH  - Esophagogastric Junction/diagnostic imaging/physiopathology
MH  - Female
MH  - Fluoroscopy
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Mouth/diagnostic imaging/physiopathology
MH  - Peristalsis
MH  - Pharynx/diagnostic imaging/physiopathology
MH  - *Postoperative Complications
MH  - Retrospective Studies
MH  - Spinal Diseases/surgery
MH  - Tongue/diagnostic imaging/physiopathology
MH  - Video Recording
EDAT- 1997/01/01 00:00
MHDA- 1997/01/01 00:01
CRDT- 1997/01/01 00:00
PHST- 1997/01/01 00:00 [pubmed]
PHST- 1997/01/01 00:01 [medline]
PHST- 1997/01/01 00:00 [entrez]
AID - 10.1007/pl00009513 [doi]
PST - ppublish
SO  - Dysphagia. 1997 Winter;12(1):2-8; discussion 9-10. doi: 10.1007/pl00009513.