[Dysphonia and dysphagia after anterior cervical spine surgery].

Abstract:

BACKGROUND:Anterior cervical spine surgery is a common procedure for fusions and/or discectomies. Postoperative dysphonia and dysphagia are known complications. In this study, we examined the frequency and outcomes of these complications in this patient population. MATERIALS AND METHODS:Patients planned to receive anterior cervical spine surgery between 01.03.2010 and 28.02.2011 at the Department of Neurosurgery, St. Gallen were prospectively included. Patients were evaluated using laryngoscopy, fiberoptic endoscopic evaluation of swallowing (FEES), voice field measurements and validated questionnaires. RESULTS:From the 53 patients included in the study, 40 had at least one complete follow-up examination. The frequency of postoperative dysphonia due to recurrent nerve palsy was 4/40 (10 %), although this was temporary in 3 patients. FEES revealed a pathological result in 18.9 % of patients. Postoperative Swallowing Quality of Life Questionnaire (Swal-QoL) scores were significantly lower. CONCLUSION:At a frequency of 10 %, dysphonia due to recurrent nerve palsy is a relevant complication in cervical spine surgery, albeit temporary in most cases. Postoperative dysphagia is common and should be evaluated and treated during follow-up.

journal_name

HNO

journal_title

HNO

authors

Mukherjee R,Müller M,Amstad H,Fournier J,Haile SR,Stöckli SJ,Litschel R

doi

10.1007/s00106-014-2877-6

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

575-81

issue

8

eissn

0017-6192

issn

1433-0458

journal_volume

62

pub_type

临床试验,杂志文章

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