Kinematic Changes in Swallowing After Surgical Removal of Anterior Cervical Osteophyte Causing Dysphagia: A Case Series
Annals of Rehabilitation Medicine
; : 865-870, 2014.
Article
em En
| WPRIM
| ID: wpr-195547
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Bário
/
Transtornos de Deglutição
/
Estudos Retrospectivos
/
Deglutição
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Esfíncter Esofágico Superior
/
Dieta
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Osteófito
/
Osso Hioide
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2014
Tipo de documento:
Article