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Mechanism of Dysphagia after Acute Traumatic Cervical Spinal Cord Injury by Tetsuo Hayashi; Yuichi Fujiwara; Yuto Ariji; Hiroaki Sakai; Kensuke Kubota; Osamu Kawano; Muneaki Masuda; Yuichiro Morishita; Takeshi Maeda is a Medicine article available to read on EtoBox.

What is Mechanism of Dysphagia after Acute Traumatic Cervical Spinal Cord Injury about?

Swallowing dysfunction, which may cause aspiration pneumonia, is one of the most important complications of treatment of traumatic cervical spinal cord injury (CSCI); however, the mechanism of dysphagia is not well understood. No previous studies have reported the association between morphological changes of the soft tissue and dysphagia. We aimed to determine the factors associated with severity of dysphagia after CSCI and elucidate its mechanism. We conducted a prospective analysis of patients with acute traumatic CSCI who were admitted within 2 weeks of the injury. Dysphagia was evaluated using the Dysphagia Severity Scale (DSS) 2 weeks after the injury. The widths of the retropharyngeal and retrotracheal spaces were measured to assess soft tissue damage owing to the injury using sagittal images of computed tomography. We also assessed age, surgery of the injured cervical spine, presence of tracheostomy, osteophyte behind the pharynx, level of injury, and motor score 2 weeks after the injury. A total of 136 persons met our criteria. Given that 44 persons were categorized under grades <5 of the DSS, which were defined as different types of aspirations, the incidence of aspiration

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Author

Tetsuo Hayashi; Yuichi Fujiwara; Yuto Ariji; Hiroaki Sakai; Kensuke Kubota; Osamu Kawano; Muneaki Masuda; Yuichiro Morishita; Takeshi Maeda

Publisher

Mary Ann Liebert Inc

Published

2020

Language

EN

Field

Medicine (Health Sciences)