Swallowing before and after Tonsillectomy as Evaluated by Surface Electromyography

Abstract

The reported sEMG method and obtained data might be further used: 1) As an additional tool for comparison of different methods of tonsillectomy (eg, cold vs hot dissection, laser surgery, etc); 2) For further development of objective postsurgical pain assessment; 3) As an additional tool for assessment and development of less traumatic surgical technique; and 4) For monitoring of recovery in difficult cases.

Trans-oral robotic surgery and surgeon-performed trans-oral ultrasound for intraoperative location and excision of an isolated retropharyngeal lymph node metastasis of papillary thyroid carcinoma

“…Our patient did suffer to some degree with oropharyngeal pain and dysphagia for roughly 3 weeks after surgery. This type of recovery is similar to that described in the setting of adult tonsillectomy [22]. Other authors have discussed need for speech language rehabilitation in select cases after transoral retropharyngeal and parapharyngeal approaches.…”

Is speech therapy useful as a complementary treatment for post-tonsillectomy pain?

“…The palatine tonsils are closely associated with the aforementioned nervous plexus and muscles. It is well known that surgical intervention and haemostatic manipulations may affect these structures [14,16]. An open wound is created in the palatine fossa after tonsillectomy.…”

“…This membrane is replaced by advancement of the adjacent mucosa within 3 weeks after tonsillectomy. It has been reported that PTP is caused by inflammation of the tonsillary bed, nerve irritation and the spasm of exposed pharyngeal muscles [14,[16][17][18][19]. The pain is not completely relieved until the muscles were covered with the adjacent mucosa [17,18].…”

“…PTP is partially caused from pharyngeal muscles spasm (constant pain) or contraction (during swallowing) in addition to inflammation and neuronal irritation [14][15][16]. The tonsillar fossa is closely associated with the pharyngeal and the palatal muscles like the palatopharyngeaus, the palatoglossus and the superior constructor of pharyngeaus.…”

Surface electromyography: diagnostic input for atypical swallowing as an aid for choosing therapy

“…It highlights the repetition of a movement or a function of a muscle or muscle group 4,10,11,13,18,20,26,29,[40][41][42][43][44][45][46][47] .…”