Mukherjee R, Müller M, Amstad H, Fournier J, Haile S R, Stöckli S J, Litschel R
Hals-Nasen-Ohrenklinik, Kantonsspital St. Gallen, 9007, St. Gallen, Schweiz.
HNO. 2014 Aug;62(8):575-81. doi: 10.1007/s00106-014-2877-6.
Anterior cervical spine surgery is a common procedure for fusions and/or discectomies. Postoperative dysphonia and dysphagia are known complications. In this study, we examined the frequency and outcomes of these complications in this patient population.
Patients planned to receive anterior cervical spine surgery between 01.03.2010 and 28.02.2011 at the Department of Neurosurgery, St. Gallen were prospectively included. Patients were evaluated using laryngoscopy, fiberoptic endoscopic evaluation of swallowing (FEES), voice field measurements and validated questionnaires.
From the 53 patients included in the study, 40 had at least one complete follow-up examination. The frequency of postoperative dysphonia due to recurrent nerve palsy was 4/40 (10 %), although this was temporary in 3 patients. FEES revealed a pathological result in 18.9 % of patients. Postoperative Swallowing Quality of Life Questionnaire (Swal-QoL) scores were significantly lower.
At a frequency of 10 %, dysphonia due to recurrent nerve palsy is a relevant complication in cervical spine surgery, albeit temporary in most cases. Postoperative dysphagia is common and should be evaluated and treated during follow-up.
颈椎前路手术是融合术和/或椎间盘切除术的常见术式。术后声音嘶哑和吞咽困难是已知的并发症。在本研究中，我们调查了该患者群体中这些并发症的发生率及转归情况。
前瞻性纳入2010年3月1日至2011年2月28日期间在圣加仑神经外科计划接受颈椎前路手术的患者。采用喉镜检查、吞咽功能纤维内镜评估（FEES）、嗓音域测量及经过验证的问卷对患者进行评估。
纳入研究的53例患者中，40例至少接受了一次完整的随访检查。因喉返神经麻痹导致的术后声音嘶哑发生率为4/40（10%），不过其中3例为暂时性。FEES显示18.9%的患者存在病理结果。术后吞咽生活质量问卷（Swal-QoL）评分显著降低。
因喉返神经麻痹导致的声音嘶哑发生率为10%，是颈椎手术中的一种相关并发症，尽管大多数情况下为暂时性。术后吞咽困难很常见，应在随访期间进行评估和治疗。
