Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-30T05:39:20.295Z Has data issue: false hasContentIssue false
  • English
  • Français

The management of dysphagia in jugular foramen surgery

Published online by Cambridge University Press:  29 June 2007

J. E. Fenton ,
H. Brake ,
A. Shirazi ,
M. S. Mendelsohn ,
M. D. Atlas  and
P. A. Fagan
J. E. Fenton*
Affiliation:
Department of Otolaryngology/Base of Skull Surgery, St. Vincent's Hospital, Sydney, Australia.
H. Brake
Affiliation:
Department of Speech Pathology, St.Vincent's Hospital, Sydney, Australia.
A. Shirazi
Affiliation:
Department of Otolaryngology/Base of Skull Surgery, St. Vincent's Hospital, Sydney, Australia.
M. S. Mendelsohn
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
M. D. Atlas
Affiliation:
Department of Otolaryngology/Base of Skull Surgery, St. Vincent's Hospital, Sydney, Australia.
P. A. Fagan
Affiliation:
Department of Otolaryngology/Base of Skull Surgery, St. Vincent's Hospital, Sydney, Australia.
*
Address for correspondence: John Fenton, B.Sc, F.R.C.S.I., Department of Otolaryngology, Beaumont Hospital, Dublin 9, Ireland.
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Keywords

DysphagiaJugular foramenSurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 2 , February 1996 , pp. 144 - 147
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Annual Clinical Meeting of the British Skull Base Society, Nottingham, May 1995.

References

Bastian, R. W. (1993) The videoendoscopic swallowing study: an alternative and partner to the videofluoroscopic swallowing study. Dysphagia 8: 359–367.CrossRefGoogle Scholar
Biller, H. F., Lawson, W., Som, P., Rosenfeld, R. (1989) Glomus vagale tumours. Annals of Olology, Rhinology and Laryngology 98: 21–26.CrossRefGoogle Scholar
Fisch, U., Fagan, P., Valavanis, A. (1984) The infratemporal fossa approach for the lateral skull base. Otolaryngologic Clinics of North America 17: 513–552.CrossRefGoogle ScholarPubMed
Gay, T., Rendall, J. K., Spiro, J. (1994) Oral and laryngeal muscle coordination during swallowing. Laryngoscope 104: 341–349.CrossRefGoogle ScholarPubMed
Jackson, C. G. (1993) Basic surgical principles of neurotologic skull base surgery. Laryngoscope 103 (suppl. 60): 29–44.CrossRefGoogle ScholarPubMed
Jennings, K. S., Sirky, D., Jackson, C. G. (1992) Swallowing problems after excision of tumours of the skull base: diagnosis and management in twelve patients. Dysphagia 7(1): 40–44.CrossRefGoogle Scholar
Levine, T. M. (1988) Swallowing disorders following skull base surgery. Otolaryngologic Clinics of North America 21(4): 751–759.CrossRefGoogle ScholarPubMed
Makek, M., Franklin, D. J., Zhao, J. C., Fisch, U. (1990) Neural infiltration of glomus temporale tumours. American Journal of Otology 11(1): 1–5.Google Scholar
Mendelsohn, M. M. (1993) New concepts in dysphagia management. Journal of Otolaryngology 22 (suppl. 1): 1–24.Google ScholarPubMed
Netterville, J. L., Civantos, F. J. (1993) Rehabilitation of cranial nerve deficits afterneurotologic skull base surgery. Laryngoscope 103: 45–54.CrossRefGoogle ScholarPubMed
Poe, D. S., Jackson, C. G., Glasscock, M. E., Johnson, G. D. (1991) Long-term results after lateral cranial base surgery. Laryngoscope 101: 372–378.CrossRefGoogle ScholarPubMed
Sataloff, R. T., Myers, D. L., Kremer, F. B. (1993) Manage ment of cranial nerve injury following surgery of the skull base. Otolaryngologic Clinics of North America 17(3): 577–589.CrossRefGoogle Scholar
Woods, C. I., Strasnick, B., Jackson, C. G. (1993) Surgery for glomus tumours: The Otology Group experience. Laryngoscope 103 (suppl. 60): 65–70.CrossRefGoogle ScholarPubMed