미용적 양악수술 시행 후 발생한 연하장애 1례
A Case of Severe Dysphagia after Aesthetic Two-Jaw Surgery
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초록
This study reports a case who presented with swallowing difficulty after orthognathic surgery. A female patient, who had undergone orthognathic surgery for esthetic purpose, presented with dysphagia. Administration of botulinum toxin injection to the cricopharyngeus muscle did not relieve or improve the severe dysphagia. The patient required nasogastric tube feeding for about three months. Swallowing ability was recovered after daily rehabilitation therapy and prescribing pyridostigmine. Injuries to the suprahyoid muscles (involved in laryngeal elevation during the pharyngeal phase of swallowing) during orthognathic surgery, and the inadvertent dissemination of inadequately injected botulinum toxin to adjacent muscles, are possible mechanisms of the severe dysphagia experienced by this patient. The authors also reviewed literature on the prevention and management of dysphagia following the orthognathic surgery.
Abstract
This study reports a case who presented with swallowing difficulty after orthognathic surgery. A female patient, who had undergone orthognathic surgery for esthetic purpose, presented with dysphagia. Administration of botulinum toxin injection to the cricopharyngeus muscle did not relieve or improve the severe dysphagia. The patient required nasogastric tube feeding for about three months. Swallowing ability was recovered after daily rehabilitation therapy and prescribing pyridostigmine. Injuries to the suprahyoid muscles (involved in laryngeal elevation during the pharyngeal phase of swallowing) during orthognathic surgery, and the inadvertent dissemination of inadequately injected botulinum toxin to adjacent muscles, are possible mechanisms of the severe dysphagia experienced by this patient. The authors also reviewed literature on the prevention and management of dysphagia following the orthognathic surgery.
참고문헌 (16)
- Friscia M, "Complications after orthognathic surgery : our experience on 423 cases", Oral Maxillofac Surg, 21(2), pp.171~177 (2017)
- Iannetti G, "Our experience in complications of orthognathic surgery : a retrospective study on 3236 patients", Eur Rev Med Pharmacol Sci, 17(3), pp.379~384 (2013)
- Gaukroger MC, "Dysphagia following bimaxillary osteotomy", Br J Oral Maxillofac Surg, 31(3), pp.189~190 (1993)
- Nagler RM, "Prolonged dysphagia after orthognathic surgery : report of a case and review of the literature", J Oral Maxillofac Surg, 54(4), pp.523~525 (1996)
- Salmon BA, "Dysphagia Requiring Nasogastric Feeding Following Orthognathic Surgery : An Unusual Complication, Case Report, Literature Review, and Recommendations", J Oral Maxillofac Surg, 77(3), pp.601~606 (2019)
- Maggi L, "Treatment of myasthenia gravis : focus on pyridostigmine", Clin Drug Investig, 31(10), pp.691~701 (2011)
- Young DL, "Pyridostigmine for reversal of severe sequelae from botulinum toxin injection", J Voice, 28(6), pp.830~834 (2014)
- Cook IJ, "Opening mechanisms of the human upper esophageal sphincter", Am J Physiol, 257(5 Pt 1), pp.G748~G759 (1989)
- Matsuo K, "Anatomy and physiology of feeding and swallowing : normal and abnormal", Phys Med Rehabil Clin N Am, 19(4), pp.691~707 (2008)
- Ohba S, "A Patient With Aspiration Pneumonia After Mandibular Osteotomy With Genioplasty", J Craniofac Surg, 27(4), pp.e356~e358 (2016)
- Pearson WG, Jr., "Structural analysis of muscles elevating the hyolaryngeal complex", Dysphagia, 27(4), pp.445~451 (2012)
- Donner MW, "Anatomy and physiology of the pharynx", Gastrointest Radiol, 10(3), pp.196~212 (1985)
- Blitzer A, "Use of botulinum toxin for diagnosis and management of cricopharyngeal achalasia", Otolaryngol Head Neck Surg, 116(3), pp.328~330 (1997)
- Atkinson SI, "Botulinum toxin for cricopharyngeal dysphagia : case reports of CT-guided injection", J Otolaryngol, 26(4), pp.273~276 (1997)
- Ahsan SF, "Botulinum toxin injection of the cricopharyngeus muscle for the treatment of dysphagia", Otolaryngol Head Neck Surg, 122(5), pp.691~695 (2000)
- Brant CQ, "Botulinum toxin for oropharyngeal dysphagia : case report of flexible endoscope-guided injection", Dis Esophagus, 12(1), pp.68~73 (1999)