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Postoperative Swallowing Function in Patients with Deep Neck Infection
INTRODUCTION: Early detection of dysphagia risk, initiating rehabilitation, and resumption of appropriate diet based on swallowing function is important during deep neck infection (DNI) control. This study aimed to evaluate the extent of cervical abscess development, particularly in the deep neck sp...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618906/ https://www.ncbi.nlm.nih.gov/pubmed/37920726 http://dx.doi.org/10.1159/000533526 |
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author | Ashizawa, Shohei Hisaoka, Takuma Ikeda, Ryoukichi Kamihata, Rina Suzuki, Jun Hirano-Kawamoto, Ai Ohta, Jun Katori, Yukio |
author_facet | Ashizawa, Shohei Hisaoka, Takuma Ikeda, Ryoukichi Kamihata, Rina Suzuki, Jun Hirano-Kawamoto, Ai Ohta, Jun Katori, Yukio |
author_sort | Ashizawa, Shohei |
collection | PubMed |
description | INTRODUCTION: Early detection of dysphagia risk, initiating rehabilitation, and resumption of appropriate diet based on swallowing function is important during deep neck infection (DNI) control. This study aimed to evaluate the extent of cervical abscess development, particularly in the deep neck space, and its relationship to postoperative swallowing function. METHODS: A retrospective chart review was performed for all DNI cases treated between April 2015 and April 2021. Deep neck spaces were divided into categories based on computed tomography findings. Functional Oral Intake Scale (FOIS) scores of 4 or higher was defined as normal or slight swallowing disorder and 3 or lower as dysphagia. RESULTS: Seventeen cases were included in the analysis. Based on FOIS, 14 cases were classified into the dysphagia group at 2 weeks after surgery, 11 cases at 4 weeks, and 8 cases at 8 weeks. There was no significant difference between the location of the abscess and dysphagia at 2 weeks after surgery. Patients with anterior cervical space abscess significantly increased dysphagia 4 weeks (p = 0.018) and 8 weeks (p = 0.036) after surgery. CONCLUSION: Abscess formation in the anterior cervical space may be associated with prolonged dysphagia after treatment due to inflammation and scarring of the muscles associated with swallowing. |
format | Online Article Text |
id | pubmed-10618906 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-106189062023-11-02 Postoperative Swallowing Function in Patients with Deep Neck Infection Ashizawa, Shohei Hisaoka, Takuma Ikeda, Ryoukichi Kamihata, Rina Suzuki, Jun Hirano-Kawamoto, Ai Ohta, Jun Katori, Yukio Biomed Hub Research Article INTRODUCTION: Early detection of dysphagia risk, initiating rehabilitation, and resumption of appropriate diet based on swallowing function is important during deep neck infection (DNI) control. This study aimed to evaluate the extent of cervical abscess development, particularly in the deep neck space, and its relationship to postoperative swallowing function. METHODS: A retrospective chart review was performed for all DNI cases treated between April 2015 and April 2021. Deep neck spaces were divided into categories based on computed tomography findings. Functional Oral Intake Scale (FOIS) scores of 4 or higher was defined as normal or slight swallowing disorder and 3 or lower as dysphagia. RESULTS: Seventeen cases were included in the analysis. Based on FOIS, 14 cases were classified into the dysphagia group at 2 weeks after surgery, 11 cases at 4 weeks, and 8 cases at 8 weeks. There was no significant difference between the location of the abscess and dysphagia at 2 weeks after surgery. Patients with anterior cervical space abscess significantly increased dysphagia 4 weeks (p = 0.018) and 8 weeks (p = 0.036) after surgery. CONCLUSION: Abscess formation in the anterior cervical space may be associated with prolonged dysphagia after treatment due to inflammation and scarring of the muscles associated with swallowing. S. Karger AG 2023-10-18 /pmc/articles/PMC10618906/ /pubmed/37920726 http://dx.doi.org/10.1159/000533526 Text en © 2023 The Author(s). Published by S. Karger AG, Basel https://creativecommons.org/licenses/by-nc/4.0/This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
spellingShingle | Research Article Ashizawa, Shohei Hisaoka, Takuma Ikeda, Ryoukichi Kamihata, Rina Suzuki, Jun Hirano-Kawamoto, Ai Ohta, Jun Katori, Yukio Postoperative Swallowing Function in Patients with Deep Neck Infection |
title | Postoperative Swallowing Function in Patients with Deep Neck Infection |
title_full | Postoperative Swallowing Function in Patients with Deep Neck Infection |
title_fullStr | Postoperative Swallowing Function in Patients with Deep Neck Infection |
title_full_unstemmed | Postoperative Swallowing Function in Patients with Deep Neck Infection |
title_short | Postoperative Swallowing Function in Patients with Deep Neck Infection |
title_sort | postoperative swallowing function in patients with deep neck infection |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10618906/ https://www.ncbi.nlm.nih.gov/pubmed/37920726 http://dx.doi.org/10.1159/000533526 |
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