Rehabilitation nursing of hoarseness and dysphagia after resection of schwannoma in jugular foramen: a case report
10.3760/cma.j.cn211501-20210430-01285
- VernacularTitle:颈静脉孔区神经鞘瘤切除术后并发嗓音嘶哑及吞咽障碍患者的康复护理1例
- Author:
Liou CHEN
1
;
Sai QI
;
Siqi WANG
;
Na YANG
;
Yan SUN
;
Li ZHANG
;
Jing ZHANG
;
Wei WEI
;
Bo YING
;
Zhenlin WANG
Author Information
1. 首都医科大学宣武医院耳鼻咽喉头颈外科，北京 100053
- Keywords:
Nursing care;
Jugular foramen area;
Schwannoma;
Posterior cranial nerve injury;
Rapid rehabilitation
- From:
Chinese Journal of Practical Nursing
2022;38(15):1186-1190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the combined rehabilitation nursing process of a case of voice and deglutition disorders following surgical removal of intra-and extracranial schwannoma in the jugular foramen area.Methods:A case of hoarseness and dysphagia after surgery for intracranial and extracranial schwannomas in the left jugular foramen region in Xuanwu Hospital, Capital Medical University in October 2020 was collected. Early step-wise voice training assisted by respiratory muscles and tongue muscle exercises was carried out, electronic laryngoscope-based breathing and swallowing methods, assessment of food and bite-size, maintenance of food consistency with the assistance of chewing times, and swallowing and ingestion guidance for the update of dietary methods were performed. The continuous rehabilitation training was provided throughout the process.Results:The grade of GRBAS scale decreased from G3 to G2 after training from home for 3 months following discharge; the voice handicap index of Chinese version reduced from 75 points to 52 points, and the average pronunciation time extended from 2.45 s to 5.32 s. The frequency of choking with food optimized from 0.4 to 0.5 times/min to no choking.Conclusions:Early rehabilitation training of voice and, swallowing and ingestion is a boon for the recovery of hoarseness and dysphagia after resection of schwannomas in the jugular foramen region.
