Related Experiment Video
Updated: Jul 30, 2026
07:45
Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
Persistent dysphagia and dysphonia following cervical spine surgery
S K Daniels1, M C Mahoney, G D Lyons
1Speech Pathology Section, VA Medical Center, New Orleans, LA 70146, USA. daniels.stephanie_k@new-orleans.med.va.gov
Ear, Nose, & Throat Journal
|July 23, 1998
Summary
Persistent dysphagia and dysphonia after anterior cervical spine surgery are often underdiagnosed. Prompt diagnosis and a multidisciplinary approach are key to addressing these swallowing and voice disorders.
Area of Science:
- Otolaryngology
- Neurology
- Neurosurgery
Background:
- Persistent dysphagia and dysphonia are underdiagnosed complications following anterior cervical spine surgery.
- Understanding the underlying physiological mechanisms is crucial for effective treatment.
Observation:
- Two cases of prolonged dysphagia and dysphonia after left anterior cervical corpectomy were reviewed.
- Diagnostic tools included videofluoroscopic evaluation, videostroboscopic assessment, and laryngeal nerve-conduction testing.
Findings:
- These assessments evaluated swallowing function, vocal fold integrity, and cranial nerve function.
- The diagnostic process aimed to determine the ability to achieve oral nutrition and guide subsequent interventions.
Implications:
- A multidisciplinary approach is essential for addressing post-surgical swallowing and voice disorders.
- Prompt initiation of therapeutic and/or surgical treatments can improve patient outcomes.
Related Concept Videos
01:26Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
01:17Endotracheal Intubation II: Nursing Management
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
01:28Esophageal Perforation-II: Clinical Manifestations and Management
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
01:30Esophageal Strictures-I: Introduction
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
01:26Esophageal Strictures-II: Clinical Features and Management
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
01:27Esophageal Achalasia
Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...