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01-04-2022 | Dysphagia | Clinical Conundrum

Dysphagia After Occipitocervical Fixation in a Patient with Atlantoaxial Subluxation

Authors: Yi-Hsiang Chiu, Shao-Yu Chi, Hung-Jui Chuang, Tyng-Guey Wang

Published in: Dysphagia | Issue 2/2022

Abstract

We report a rare case of dysphagia after occipitocervical fixation, and aim to emphasize the importance of occiput-C2 angle. The kyphotic change of occiput-C2 alignment after operation might lead to dysphagia due to decreased oropharyngeal cross-section area and increased basal pressure of upper esophageal sphincter. Carefully align the occiput-C2 angle during occipitocervical fixation might reduce the incidence of postoperative dysphagia.

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Miyata M, Neo M, Fujibayashi S, Ito H, Takemoto M, Nakamura T. O-C2 angle as a predictor of dyspnea and/or dysphagia after occipitocervical fusion. Spine. 2009;34:184–8. https://doi.org/10.1097/BRS.0b013e31818ff64e.CrossRefPubMed

Oh Y, Lee ST, Ryu JS. High resolution manometry analysis of a patient with dysphagia after occiput-C3/4 posterior fusion operation. Ann Rehabil Med. 2015;39:1028–32. https://doi.org/10.5535/arm.2015.39.6.1028.CrossRefPubMedPubMedCentral

Title: Dysphagia After Occipitocervical Fixation in a Patient with Atlantoaxial Subluxation
Authors: Yi-Hsiang Chiu
Shao-Yu Chi
Hung-Jui Chuang
Tyng-Guey Wang
Publication date: 01-04-2022
Publisher: Springer US
Keywords: Dysphagia
Dysphagia
Dysphagia
Invagination
Published in: Dysphagia / Issue 2/2022
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-021-10284-6

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Dysphagia After Occipitocervical Fixation in a Patient with Atlantoaxial Subluxation

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

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