Kinematic Changes in Swallowing After Surgical Removal of Anterior Cervical Osteophyte Causing Dysphagia: A Case Series
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
This retrospective case series included five patients who underwent surgical resection of the cervical anterior osteophyte due to dysphagia. Videofluoroscopic swallowing studies (VFSSs) were performed before and after surgery on each patient, and kinematic analysis of the video clips from the VFSS of a 5-mL liquid barium swallow was carried out. Functional oral intake improved after surgery in 3/4 patients who had required a modified diet before surgery. Kinematic analysis showed increases in the maximal hyoid vertical movement length (13.16±5.87 to 19.09±4.77 mm, p=0.080), hyoid movement velocities (170.24±84.71 to 285.53±104.55 mm/s, p=0.043), and upper esophageal sphincter opening width (3.97±0.42 to 6.39±1.32 mm, p=0.043) after surgery. In conclusion, improved upper esophageal sphincter opening via enhancement of hyoid movement after cervical anterior osteophyte resection may be the kinetic mechanism of improved swallowing function.
Abstract
This retrospective case series included five patients who underwent surgical resection of the cervical anterior osteophyte due to dysphagia. Videofluoroscopic swallowing studies (VFSSs) were performed before and after surgery on each patient, and kinematic analysis of the video clips from the VFSS of a 5-mL liquid barium swallow was carried out. Functional oral intake improved after surgery in 3/4 patients who had required a modified diet before surgery. Kinematic analysis showed increases in the maximal hyoid vertical movement length (13.16±5.87 to 19.09±4.77 mm, p=0.080), hyoid movement velocities (170.24±84.71 to 285.53±104.55 mm/s, p=0.043), and upper esophageal sphincter opening width (3.97±0.42 to 6.39±1.32 mm, p=0.043) after surgery. In conclusion, improved upper esophageal sphincter opening via enhancement of hyoid movement after cervical anterior osteophyte resection may be the kinetic mechanism of improved swallowing function.
참고문헌 (10)
- Carlson ML, "Surgical management of dysphagia and airway obstruction in patients with prominent ventral cervical osteophytes", Dysphagia, 26, pp.34~40 (2011)
- Lecerf P, "How to diagnose and treat symptomatic anterior cervical osteophytes?", Eur Ann Otorhinolaryngol Head Neck Dis, 127, pp.111~116 (2010)
- Miyamoto K, "Postsurgical recurrence of osteophytes causing dysphagia in patients with diffuse idiopathic skeletal hyperostosis", Eur Spine J, 18, pp.1652~1658 (2009)
- Song J, "Clinical and radiological analysis of ossification of the anterior longitudinal ligament causing dysphagia and hoarseness", Neurosurgery, 58, pp.913~919 (2006)
- Dae Ha Kim, "Inter-rater Reliability of Videofluoroscopic Dysphagia Scale", Annals of Rehabilitation Medicine, 36(6), pp.791~796 (2012), 대한재활의학회
- Paik NJ, "Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies", J Electromyogr Kinesiol, 18, pp.329~335 (2008)
- Angelos C, Dimitra A, "Dysphagia due to anterior cervical osteophytes complicated with hypopharynx abscess", BMJ Case Rep (2011)[DOI]
- Bilbao G, "Surgical results and complications in a series of 71 consecutive cervical spondylotic corpectomies", Acta Neurochir (Wien), 152, pp.1155~1163 (2010)
- Oppenlander ME, "Dysphagia due to anterior cervical hyperosteophytosis", Surg Neurol, 72, pp.266~271 (2009)
- Dodds WJ, "Physiology and radiology of the normal oral and pharyngeal phases of swallowing", AJR Am J Roentgenol, 154, pp.953~963 (1990)