2019 Volume 31 Issue 01 Pages 1-5
Surgical treatment of dysphagia and aspiration is usually considered when swallowing rehabilitation is not effective, especially in cases of progression of neuromuscular disease or sequelae of surgery for brain tumor or traumatic disease. In this study, we retrospectively analyzed the outcomes of surgical treatment for dysphagia and aspiration performed at Nagoya University Hospital from April 2003 to March 2018. For our analysis of surgery for aspiration, we collected data on the time needed for surgery, amount of bleeding, surgical complications, nutritional status, and inflammatory data from clinical records. For our analysis of surgery for dysphagia, we collected data on the AsR score （Aspiration and Residue Score） and NRRS （Normalized Residue Ratio Scale）. Regarding the results of our analysis of surgery for aspiration, Kano’s laryngeal closure was commonly performed in our institute. This procedure had a relatively low complication rate and little variation in the time needed for the surgery among cases. Kano’s laryngeal closure was able to be performed even for patients with a poor nutritional status. Regarding the results of our analysis of surgery for dysphagia, the AsR score and NRRS were improved after surgery. Surgery for aspiration was able to be performed even if the patient’s nutritional status was poor, and surgery for dysphagia was thus shown to be a useful and effective treatment procedure.
