Laryngotracheal Closure and Cricopharyngeal Myotomy for Intractable Aspiration and Dysphagia Secondary to Cerebrovascular Accident

Qu, Shenhong; Li, Min; Liang, Jianping; Su, Zhengzhong; Chen, Shiqiang; He, Xia

doi:10.1159/000260182

Cited by 2 publications

(2 citation statements)

References 34 publications

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“…Nevertheless, it remains difficult to predict how much fat will be resorbed and thus how long a therapeutic effect will persist. With the Coleman technique, absorption of fat seems to be reduced to some extent [32,33]. In general, after 20-30 cc injections (in 2-3 procedures), positive effects are seen.…”

Section: Short-term Outcomesmentioning

confidence: 97%

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Lipofilling in Post-Treatment Oral Dysfunction in Head and Neck Cancer Patients

Neijman¹,

Karsten²,

Molen³

et al. 2022

Dysphagia - New Advances

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Lipofilling is a new treatment option for head- and neck cancer patients who suffer from chronic and severe (chemo-) radiation or surgery-related swallowing problems. Lipofilling is a technique of autologous grafting in which living fat cells are transplanted from one location to another in the same patient. In the case of head and neck cancer patients, volume loss or muscle atrophy of the tongue or pharyngeal musculature caused by the treatment may result in oropharyngeal dysfunction. Firstly, intensive swallowing therapy will be given, but if that offers no further improvement and the functional problems persist, lipofilling can be considered. By transplantation of autologous adipose tissue, the functional outcomes might improve by compensating the existing tissue defects or tissue loss. Only a few studies have been published which evaluated the effectiveness of this new treatment option. The results of those studies show that the lipofilling technique seems safe and of potential value for improving swallowing function in some of the included patients with chronic and severe dysphagia after surgery and/or (chemo-) radiation therapy for head and neck cancer. The lipofilling procedure will be described in detail as well as the clinical implications.

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Section: Short-term Outcomesmentioning

confidence: 97%

“…This impaired relaxation can sometimes be remedied by reducing the tonus of the musculature of the pharynx. Cricopharyngeal myotomy, either endoscopically using a CO 2 laser or by an open surgical procedure, can be helpful [32,33]. Myotomy of the cricopharyngeal muscle results in lower resistance of the upper esophageal sphincter.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Lipofilling in Post-Treatment Oral Dysfunction in Head and Neck Cancer Patients

Neijman¹,

Karsten²,

Molen³

et al. 2022

Dysphagia - New Advances

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Clinical Challenges in the Evaluation and Treatment of Individuals with Poststroke Dysphagia

Tippett

2011

Topics in Stroke Rehabilitation

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Although reported frequencies vary due to study design, patient characteristics, and method of ascertainment, dysphagia is a commonly encountered morbidity after stroke. Consequently, speech-language pathologists' clinical caseloads are heavily populated with individuals with poststroke dysphagia. The body of knowledge about swallowing and swallowing disorders has expanded exponentially over the last 3 decades, and speech-language pathologists are increasingly sophisticated in their evaluation and treatment of this patient population. Nevertheless, clinical quandaries persist regarding the management of these individuals. In this article, clinical challenges are discussed, including early detection of dysphagia and aspiration risk, treatment efficacy, refractory dysphagia, and noncompliance with treatment. Research relevant to these issues is reviewed to aid in formulating sound clinical decisions.

show abstract

Laryngotracheal Closure and Cricopharyngeal Myotomy for Intractable Aspiration and Dysphagia Secondary to Cerebrovascular Accident

Cited by 2 publications

References 34 publications

Lipofilling in Post-Treatment Oral Dysfunction in Head and Neck Cancer Patients

Lipofilling in Post-Treatment Oral Dysfunction in Head and Neck Cancer Patients

Clinical Challenges in the Evaluation and Treatment of Individuals with Poststroke Dysphagia

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