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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.
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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

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Footnotes

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

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