A rating scale and therapeutic strategy in dysphagia in patients with brain stem damage

Dysphagia appears in 15-17% of cases after removal of tumors of the posterior cranial fossa (PCF), which is one of the most life-threatening postoperative complications due to a risk of acute airway patency impairment, possible aspiration, bronchopulmonary infectious complications. This makes progno...

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Bibliographic Details
Published inZhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko no. 4; p. 24
Main Authors Goriachev, A S, Savin, I A, Putsillo, M V, Bragina, N N, Sokolova, E Iu, Shchepetkov, A N, Fokin, M S, Kroptova, M V
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.10.2006
Subjects
Cranial Nerve Diseases - complications
Deglutition Disorders - diagnosis
Deglutition Disorders - etiology
Deglutition Disorders - therapy
Diagnosis, Differential
Humans
Laryngoscopy
Severity of Illness Index
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Summary:Dysphagia appears in 15-17% of cases after removal of tumors of the posterior cranial fossa (PCF), which is one of the most life-threatening postoperative complications due to a risk of acute airway patency impairment, possible aspiration, bronchopulmonary infectious complications. This makes prognosis workse and complicates a patient's rehabilitation. Based on the results of fibrolaryngotracheoscopic study and treatment of 1653 patients operated on for PCF tumors, the authors have developed a scale for rating the severity of bulbar disorders. The proposed scale promotes decision making on the expediency of performing tracheostomy and on the necessity of evaluating the efficiency of performed therapy (trends in bulbar disorders) and predicting the course of a postoperative period.
ISSN:0042-8817