caa a22 4500 469050349 CHVBK 20180323132829.0 cr unu---uuuuu 170328e19920301xx s 000 0 eng 10.1007/BF02493420 doi (NATIONALLICENCE)springer-10.1007/BF02493420 Swallowing problems after excision of tumors of the skull base: Diagnosis and management in 12 patients [Elektronische Daten] [K. Jennings, Denise Siroky, C. Jackson] Acute-onset dysphagia can be a debilitating complication of operative intervention in skull base surgery. A retrospective study performed at Baptist Hospital in vestigated the oropharyngeal deficits, compensatory swallow techniques, and diet modifications of 12 patients who had undergone excision of skull base tumors. Oropharyngeal dysfunction, reduced laryngeal elevation, and copious pharyngeal retention were the most prominent swallowing deficits. Aspiration occurred in 75% of the patients studied. The most frequently employed compensatory swallow techniques were head turns to the affected side, supraglottic swallow, double swallows, alternating liquids and solids, carbonated beverage swallows, and small bolus size. Approximately 2 weeks following skull base surgery, 58% of the patients were able to tolerate oral intake with the aid of compensatory swallow techniques and diet modifications. Only 1 patient in this group remained unable to tolerate food by mouth. This paper focuses on identification of the disordered components of the swallow and the therapeutic management techniques characteristic of the patient who has undergone excision of a skull base tumor. Springer-Verlag New York Inc, 1992 Compensatory swallow techniques nationallicence Aspiration, Skull base lesions nationallicence Diet modifications nationallicence Deglutition nationallicence Deglutition disorders nationallicence Jennings K. Department of Rehabilitation, Park View Medical Center, Nashville, Tennessee aut Siroky Denise Department of Rehabilitation, St. Thomas Hospital, Nashville, Tennessee aut Jackson C. Otology Group, PC, Nashville, Tennessee, USA aut Dysphagia Springer-Verlag 7/1(1992-03-01), 40-44 0179-051X 7:1<40 1992 7 455 https://doi.org/10.1007/BF02493420 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02493420 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jennings K. Department of Rehabilitation, Park View Medical Center, Nashville, Tennessee aut NATIONALLICENCE 700 1- Siroky Denise Department of Rehabilitation, St. Thomas Hospital, Nashville, Tennessee aut NATIONALLICENCE 700 1- Jackson C. Otology Group, PC, Nashville, Tennessee, USA aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 7/1(1992-03-01), 40-44 0179-051X 7:1<40 1992 7 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer