The management of dysphagia in jugular foramen surgery

From 1985-1994, the Skull Base Unit at St. Vincent's Hospital, Sydney, operated on 61 patients with tumours involving the jugular foramen. Pre-operative assessment by a Speech Pathologist and the institution of swallowing techniques prior to surgery have improved post-operative morbidity. Ancil...

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Bibliographic Details
Published inJournal of laryngology and otology Vol. 110; no. 2; p. 144
Main Authors Fenton, J E, Brake, H, Shirazi, A, Mendelsohn, M S, Atlas, M D, Fagan, P A
Format Journal Article
LanguageEnglish
Published England 01.02.1996
Subjects
Adolescent
Adult
Aged
Brain Neoplasms - surgery
Child
Deglutition Disorders - rehabilitation
Female
Humans
Male
Middle Aged
Postoperative Complications - rehabilitation
Retrospective Studies
Skull - surgery
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Summary:From 1985-1994, the Skull Base Unit at St. Vincent's Hospital, Sydney, operated on 61 patients with tumours involving the jugular foramen. Pre-operative assessment by a Speech Pathologist and the institution of swallowing techniques prior to surgery have improved post-operative morbidity. Ancillary procedures at the time of surgery were not required in the majority of cases. An individual assessment of each patient early in the postoperative period was found to be more important with regard to the benefits of supplementary surgery. The majority of patients with dysphagia settled with conservative management and only a few underwent ancillary surgery. It is perceived that the cortical and subcortical control of swallowing is a major factor in the rehabilitation of these patients.
ISSN:0022-2151
DOI:10.1017/S0022215100132992