Tags

Type your tag names separated by a space and hit enter

Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease.
Ann Otol Rhinol Laryngol. 2020 Jul; 129(7):689-694.AO

Abstract

OBJECTIVES

Surgical procedure is considered in patients with severe dysphagia when conservative treatment fails. This study aimed to evaluate laryngeal suspension (LS) and upper esophageal sphincter (UES) myotomy for treating severe dysphagia due to brain disease.

METHODS

Fourteen patients underwent LS and UES myotomy, with a median follow-up of 5 years and 6 months when conservative treatment failed. The penetration-aspiration scale (PAS), the Dysphagia Severity Scale (DSS), the Eating Status Scale (ESS), and diet contents were evaluated just before surgery, at discharge, and at the last follow-up.

RESULTS

Preoperative intake was tube feeding in all patients. The patients learned the extended head and flexed neck posture to open the esophageal inlet. PAS, DSS and ESS scores, and diet contents were significantly improved at discharge compared with before surgery, and were maintained until the last follow-up. Eight patients had pneumonia during their hospital stay, and five had pneumonia between discharge and at the last follow-up. Age was significantly, negatively correlated with DSS and ESS at the last follow-up.

CONCLUSION

Although LS and UES myotomy require a long inpatient rehabilitation and the risk of pneumonia after surgery is high, the outcome is favorable and the effects last for a long time.

Authors+Show Affiliations

Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.Department of Otolaryngology, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.Department of Otolaryngology, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32037848

Citation

Shibata, Seiko, et al. "Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease." The Annals of Otology, Rhinology, and Laryngology, vol. 129, no. 7, 2020, pp. 689-694.
Shibata S, Kagaya H, Ozeki Y, et al. Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease. Ann Otol Rhinol Laryngol. 2020;129(7):689-694.
Shibata, S., Kagaya, H., Ozeki, Y., Saitoh, E., Aoyagi, Y., Iwata, Y., & Sakurai, K. (2020). Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease. The Annals of Otology, Rhinology, and Laryngology, 129(7), 689-694. https://doi.org/10.1177/0003489420904741
Shibata S, et al. Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease. Ann Otol Rhinol Laryngol. 2020;129(7):689-694. PubMed PMID: 32037848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease. AU - Shibata,Seiko, AU - Kagaya,Hitoshi, AU - Ozeki,Yasunori, AU - Saitoh,Eiichi, AU - Aoyagi,Yoichiro, AU - Iwata,Yoshihiro, AU - Sakurai,Kazuo, Y1 - 2020/02/10/ PY - 2020/2/11/pubmed PY - 2020/6/26/medline PY - 2020/2/11/entrez KW - brainstem disease KW - dysphagia KW - laryngeal suspension KW - rehabilitation KW - upper esophageal sphincter myotomy SP - 689 EP - 694 JF - The Annals of otology, rhinology, and laryngology JO - Ann. Otol. Rhinol. Laryngol. VL - 129 IS - 7 N2 - OBJECTIVES: Surgical procedure is considered in patients with severe dysphagia when conservative treatment fails. This study aimed to evaluate laryngeal suspension (LS) and upper esophageal sphincter (UES) myotomy for treating severe dysphagia due to brain disease. METHODS: Fourteen patients underwent LS and UES myotomy, with a median follow-up of 5 years and 6 months when conservative treatment failed. The penetration-aspiration scale (PAS), the Dysphagia Severity Scale (DSS), the Eating Status Scale (ESS), and diet contents were evaluated just before surgery, at discharge, and at the last follow-up. RESULTS: Preoperative intake was tube feeding in all patients. The patients learned the extended head and flexed neck posture to open the esophageal inlet. PAS, DSS and ESS scores, and diet contents were significantly improved at discharge compared with before surgery, and were maintained until the last follow-up. Eight patients had pneumonia during their hospital stay, and five had pneumonia between discharge and at the last follow-up. Age was significantly, negatively correlated with DSS and ESS at the last follow-up. CONCLUSION: Although LS and UES myotomy require a long inpatient rehabilitation and the risk of pneumonia after surgery is high, the outcome is favorable and the effects last for a long time. SN - 1943-572X UR - https://www.unboundmedicine.com/medline/citation/32037848/Effect_of_Laryngeal_Suspension_and_Upper_Esophageal_Sphincter_Myotomy_for_Severe_Dysphagia_Due_to_Brainstem_Disease L2 - http://journals.sagepub.com/doi/full/10.1177/0003489420904741?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -