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Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes

OBJECTIVE: Dysphagia is common in patients with cervical osteophytes. We aimed to determine whether head rotation as a compensatory technique is effective for dysphagia caused by unilateral cervical osteophytes. METHODS: We retrospectively analyzed videofluoroscopic swallowing study (VFSS) data obta...

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Autores principales: Seo, Minsu, Park, Jin-Woo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9434682/
https://www.ncbi.nlm.nih.gov/pubmed/36036241
http://dx.doi.org/10.1177/03000605221116757
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author Seo, Minsu
Park, Jin-Woo
author_facet Seo, Minsu
Park, Jin-Woo
author_sort Seo, Minsu
collection PubMed
description OBJECTIVE: Dysphagia is common in patients with cervical osteophytes. We aimed to determine whether head rotation as a compensatory technique is effective for dysphagia caused by unilateral cervical osteophytes. METHODS: We retrospectively analyzed videofluoroscopic swallowing study (VFSS) data obtained in one university hospital. Patients whose VFSS showed pharyngeal stasis by mechanical obstruction due to cervical osteophytes were selected. They were divided into a unilateral skewed osteophyte group and a diffuse central osteophyte group as confirmed by laryngoscopy or computed tomography. The effect of head rotation on swallowing was investigated. Fisher’s exact test was used for statistical analysis. RESULTS: Among 2876 patients who underwent VFSSs, we identified 48 patients with osteophyte-induced dysphagia. The osteophytes were centrally located in 36 patients and unilateral in the remaining 12. Ten of the patients with unilateral osteophytes showed improvement when they swallowed with head rotation toward the osteophyte side, but none of the patients with central osteophytes showed effective swallowing. A statistically significant relationship was found between swallowing with head rotation and skewed cervical osteophytes. CONCLUSION: Swallowing with head rotation was safe, easy, and effective for patients with dysphagia caused by unilateral cervical osteophytes. We advise attempting this method prior to considering surgical approaches.
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spelling pubmed-94346822022-09-02 Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes Seo, Minsu Park, Jin-Woo J Int Med Res Retrospective Clinical Research Report OBJECTIVE: Dysphagia is common in patients with cervical osteophytes. We aimed to determine whether head rotation as a compensatory technique is effective for dysphagia caused by unilateral cervical osteophytes. METHODS: We retrospectively analyzed videofluoroscopic swallowing study (VFSS) data obtained in one university hospital. Patients whose VFSS showed pharyngeal stasis by mechanical obstruction due to cervical osteophytes were selected. They were divided into a unilateral skewed osteophyte group and a diffuse central osteophyte group as confirmed by laryngoscopy or computed tomography. The effect of head rotation on swallowing was investigated. Fisher’s exact test was used for statistical analysis. RESULTS: Among 2876 patients who underwent VFSSs, we identified 48 patients with osteophyte-induced dysphagia. The osteophytes were centrally located in 36 patients and unilateral in the remaining 12. Ten of the patients with unilateral osteophytes showed improvement when they swallowed with head rotation toward the osteophyte side, but none of the patients with central osteophytes showed effective swallowing. A statistically significant relationship was found between swallowing with head rotation and skewed cervical osteophytes. CONCLUSION: Swallowing with head rotation was safe, easy, and effective for patients with dysphagia caused by unilateral cervical osteophytes. We advise attempting this method prior to considering surgical approaches. SAGE Publications 2022-08-29 /pmc/articles/PMC9434682/ /pubmed/36036241 http://dx.doi.org/10.1177/03000605221116757 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Seo, Minsu
Park, Jin-Woo
Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
title Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
title_full Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
title_fullStr Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
title_full_unstemmed Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
title_short Head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
title_sort head rotation as an effective compensatory technique for dysphagia caused by unilateral cervical osteophytes
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9434682/
https://www.ncbi.nlm.nih.gov/pubmed/36036241
http://dx.doi.org/10.1177/03000605221116757
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