Videofluoroscopic Swallowing Study-Guided Balloon Dilatation for Dysfunction of the UES
- Author:
Jong Hwa LEE
1
;
Sang Beom KIM
;
Kyeong Woo LEE
;
Soo Hwan KIM
Author Information
- Publication Type:Case Report
- From: Journal of the Korean Dysphagia Society 2024;14(1):80-86
- CountryRepublic of Korea
- Language:English
- Abstract: Dysphagia following anterior cervical spine surgery (ACSS) poses a significant clinical challenge, with recurrent laryngeal nerve (RLN) injury emerging as a potential contributor. This case report describes the case of a 55-year-old male who underwent ACSS and subsequently developed dysphagia and hoarseness due to left RLN damage.Employing videofluoroscopic swallowing study (VFSS)-guided balloon dilatation on postoperative day 12, we observed a notable improvement in the opening of the upper esophageal sphincter (UES), as validated by a follow-up VFSS.The patient successfully transitioned from total parenteral nutrition to oral intake, demonstrating the clinical significance of the intervention. Although promising, long-term follow-up studies are warranted to assess the sustained efficacy of VFSS-guided balloon dilatation and the potential recurrence of dysphagia. Safety considerations and protocol variations merit further investigation, emphasizing the need for collaborative multicenter studies. In conclusion, VFSS-guided balloon dilatation is a potentially effective treatment for post-ACSS dysphagia associated with UES dysfunction caused by RLN injury.
