•  
  •  
 

Rehabilitation Practice and Science

Translated Title

頸椎前位手術後之吞嚥障礙：病例報告

Abstract

Dysphagia is one of the complications that develops after anterior cervical spine surgery. Its etiology is multifactorial. It is transient in most patients, and few patients suffer from dysphagia for more than several months. This study reports 1 patient with a dislocation fracture at the C5-C6 level who suffered from dysphagia for 6 months after the anterior cervical spine surgery. Videofluoroscopic examination of swallowing revealed pharyngeal muscle weakness and cricopharyngeal muscle dysfunction with obstruction at the level of the left upper esophageal sphincter. Serial examination revealed neither laryngeal organic lesions, such as those observed in vocal cord palsy, nor evidence of brain injury. The probable cause of dysphagia in this patient may be the injury to the neuromuscular junction or fibers of the pharyngeal plexus, and the adhesion of the anterior cervical plate to the surrounding soft tissue. Another possible reason causing dysphagia in this patient is deglutition apnea, which has not been reported earlier. Deglutition apnea might cause dyspnea in patients with severe restrictive lung disease, especially when they sit upright, and worsen the swallowing function.

Language

Traditional Chinese

First Page

49

Last Page

54

Download

Share

COinS