Winslow C P, Meyers A D
Department of Otolaryngology-Head and Neck Surgery, University of Colorado Health Sciences Center, Denver 80262, USA.
Am J Otolaryngol. 1999 Jan-Feb;20(1):16-27. doi: 10.1016/s0196-0709(99)90046-7.
To review current literature regarding otolaryngologic complications of the anterior approach to the cervical spine with the focus on the etiology, diagnosis, and treatment of these disorders.
A review of literature from the introduction of anterior cervical surgery (late 1950s) to the present was conducted by using computer databases and bibliographies of appropriate journal articles and texts. Key words included "anterior cervical surgery," "dysphagia," "surgical complications," and "hoarseness."
Dysphagia and dysphonia are common conditions following anterior cervical fusion, and patients should be counseled on this risk preoperatively. The etiologies of these problems have not been clearly elucidated, and these complications are frequently underreported or ignored. Otolaryngologic consultation should be obtained for all patients with dysphagia or dysphonia that persists longer than 1 to 2 months, and consideration should be given to having all patients at risk (previously operated patients) evaluated both preoperatively and postoperatively.
回顾当前关于颈椎前路手术耳鼻喉科并发症的文献，重点关注这些疾病的病因、诊断和治疗。
通过使用计算机数据库以及相关期刊文章和书籍的参考文献，对从颈椎前路手术引入（20世纪50年代末）至今的文献进行综述。关键词包括“颈椎前路手术”“吞咽困难”“手术并发症”和“声音嘶哑”。
吞咽困难和发音障碍是颈椎前路融合术后的常见情况，术前应向患者告知此风险。这些问题的病因尚未完全阐明，且这些并发症经常报告不足或被忽视。对于所有吞咽困难或发音障碍持续超过1至2个月的患者，均应寻求耳鼻喉科会诊，并且应考虑对所有有风险的患者（既往接受过手术的患者）在术前和术后进行评估。
