Fenton J E, Brake H, Shirazi A, Mendelsohn M S, Atlas M D, Fagan P A
Department of Otolaryngology, St. Vincent's Hospital, Sydney, Australia.
J Laryngol Otol. 1996 Feb;110(2):144-7. doi: 10.1017/s0022215100132992.
From 1985-1994, the Skull Base Unit at St. Vincent's Hospital, Sydney, operated on 61 patients with tumours involving the jugular foramen. Pre-operative assessment by a Speech Pathologist and the institution of swallowing techniques prior to surgery have improved post-operative morbidity. Ancillary procedures at the time of surgery were not required in the majority of cases. An individual assessment of each patient early in the postoperative period was found to be more important with regard to the benefits of supplementary surgery. The majority of patients with dysphagia settled with conservative management and only a few underwent ancillary surgery. It is perceived that the cortical and subcortical control of swallowing is a major factor in the rehabilitation of these patients.
1985年至1994年期间，悉尼圣文森特医院的颅底科对61例累及颈静脉孔的肿瘤患者进行了手术。术前由言语病理学家进行评估，并在手术前采用吞咽技术，这降低了术后发病率。大多数病例在手术时不需要辅助手术。发现在术后早期对每位患者进行个体评估对于辅助手术的益处更为重要。大多数吞咽困难的患者通过保守治疗得到缓解，只有少数患者接受了辅助手术。据认为，吞咽的皮质和皮质下控制是这些患者康复的主要因素。
