Current strategies of reduce the rate of dysphagia and dysphonia after anterior cervical spine surgery and role of corticosteroids

Chen, Dong; Shao, Minmin; Wang, Xiangyang; Li, Yan Michael; Wu, Ai-Min

doi:10.21037/atm.2018.11.29

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…Many studies with limited power have confirmed these findings after ACSS while limiting concern for other complications secondary to steroid administration including nonunion and infection. 37 Alternatively, one study demonstrated no difference in rates of dysphagia. 37 Although studies have shown promising outcomes, additional studies with greater sample sizes are warranted to provide validation of use.…”

Section: Preventionmentioning

confidence: 99%

“…37 Alternatively, one study demonstrated no difference in rates of dysphagia. 37 Although studies have shown promising outcomes, additional studies with greater sample sizes are warranted to provide validation of use. Furthermore, it is important to note that use of retropharyngeal steroids may lead to delayed esophageal rupture as evidenced by two cases in Lee SH et al (2015) after ACSS.…”

Section: Preventionmentioning

confidence: 99%

“…12 Retraction pressure: Excess retraction pressure, either due to physical manipulation of the neck or endotracheal cuff tube pressure, can be responsible for the development of postoperative dysphagia due to disruption of anatomical structures including the RLN. 37 Suggested methods to decrease the risk of dysphagia postoperatively include dynamic retraction intraoperatively and decreased cuff pressure to 20 mmHg during neck retraction. 18,39 Cervical plate selection: As detailed in the systematic review by Cho et al, 13 proper plate selection may provide benefit to reducing dysphagia; however, the research is unclear.…”

Section: Preventionmentioning

confidence: 99%

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Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management

Le,

Javidan,

Khan

et al. 2024

J Am Acad Orthop Surg

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Anterior cervical spine surgery (ACSS) is a surgical intervention widely used for a myriad of indications including degenerative, oncologic, inflammatory, traumatic, and congenital spinal conditions. A primary concern for surgeons performing ACSS is the postoperative development of oropharyngeal dysphagia. Current literature reports a wide incidence of this complication ranging from 1 to 79%. Dysphagia after ACSS is multifactorial, with common risk factors being prolonged duration of operation, revision surgeries, multilevel surgeries, and use of recombinant human bone morphogenetic protein-2. Many technical strategies have been developed to reduce the risk of postoperative dysphagia, including the development of low-profile implants and retropharyngeal local steroid application. In this article, we review the most recent literature regarding the epidemiology and pathophysiology, diagnostic criteria, risk factors, and management of dysphagia after ACSS.

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Section: Preventionmentioning

confidence: 99%

Section: Preventionmentioning

confidence: 99%

Section: Preventionmentioning

confidence: 99%

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Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management

Le,

Javidan,

Khan

et al. 2024

J Am Acad Orthop Surg

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“…At present, the use of corticosteroids is one of the most important ways to reduce postoperative dysphagia and dysphonia (Liu et al, 2019), and the incidence of dysphagia with topical steroids is better than the outcome of intravenous steroids (Chen et al, 2018). In a recent study, steroids could not effectively reduce the prevertebral soft tissue density after ACDF, and its dosage was not correlated with reducing postoperative swallowing dysfunction, but it may reduce the initial dyspnea (Yang et al, 2019).…”

Section: Use Of Corticosteroidsmentioning

confidence: 99%

Anterior Cervical Spine Surgery Complicated With Dysphagia

Wei,

Sulian,

Tonglian

et al. 2023

Orthopaedic Nursing

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Anterior cervical spine surgery is a common type of neck surgery in orthopaedics. Swallowing disorder is one of the most common complications after surgery. It is characterized by food entering the esophagus from the mouth through the pharynx. The process of reaching the stomach is hampered and leads to increases in a range of risk factors that affect the health of the patient. This article reviews relevant literature reports from recent years retrieved from various national and international medical databases, aiming to find more economical, effective, and simple perioperative nursing strategies for patients with cervical anterior surgery through evidence-based thinking and methods, with the aim of developing a personalized care model that is easy to implement and has a long-lasting effect and a wide range of rehabilitation benefits to better serve patients.

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Dysphagia following lumbar spine surgery in the setting of undiagnosed DISH of the cervical spine: a case report

2019

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Current strategies of reduce the rate of dysphagia and dysphonia after anterior cervical spine surgery and role of corticosteroids

Cited by 3 publications

References 27 publications

Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management

Dysphagia After Anterior Cervical Spine Surgery: Pathophysiology, Diagnosis, and Management

Anterior Cervical Spine Surgery Complicated With Dysphagia

Dysphagia following lumbar spine surgery in the setting of undiagnosed DISH of the cervical spine: a case report

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