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A Case of Severe Dysphagia after Aesthetic Two-Jaw Surgery
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미용적 양악수술 시행 후 발생한 연하장애 1례

논문 기본 정보

Type
Academic journal
Author
Yeon Hee Im (가톨릭대학교 의과대학 이비인후-두경부외과학교실) Soo Ah Son (여의도성모) Sung Joon Park (가톨릭대학교) Young-Hark Park (가톨릭대학교)
Journal
대한연하장애학회 대한연하장애학회지 대한연하장애학회지 제11권 제1호 KCI Accredited Journals
Published
2021.1
Pages
67 - 71 (5page)

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A Case of Severe Dysphagia after Aesthetic Two-Jaw Surgery
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Abstract· Keywords

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This study reports a case who presented with swallowing difficulty after orthognathic surgery. A female patient, who had undergone orthognathic surgery for esthetic purpose, presented with dysphagia. Administration of botulinum toxin injection to the cricopharyngeus muscle did not relieve or improve the severe dysphagia. The patient required nasogastric tube feeding for about three months. Swallowing ability was recovered after daily rehabilitation therapy and prescribing pyridostigmine. Injuries to the suprahyoid muscles (involved in laryngeal elevation during the pharyngeal phase of swallowing) during orthognathic surgery, and the inadvertent dissemination of inadequately injected botulinum toxin to adjacent muscles, are possible mechanisms of the severe dysphagia experienced by this patient. The authors also reviewed literature on the prevention and management of dysphagia following the orthognathic surgery.
#Botulinum toxins #Dysphagia #Modified barium swallowing study #Orthognathic surgery #Pyridostigmine

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References (16)

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Friscia M / 2017 / Complications after orthognathic surgery : our experience on 423 cases / Oral Maxillofac Surg 21(2):171~177 google schola Iannetti G / 2013 / Our experience in complications of orthognathic surgery : a retrospective study on 3236 patients / Eur Rev Med Pharmacol Sci 17(3):379~384 google schola Gaukroger MC / 1993 / Dysphagia following bimaxillary osteotomy / Br J Oral Maxillofac Surg 31(3):189~190 google schola Nagler RM / 1996 / Prolonged dysphagia after orthognathic surgery : report of a case and review of the literature / J Oral Maxillofac Surg 54(4):523~525 google schola Salmon BA / 2019 / Dysphagia Requiring Nasogastric Feeding Following Orthognathic Surgery : An Unusual Complication, Case Report, Literature Review, and Recommendations / J Oral Maxillofac Surg 77(3):601~606 google schola

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