Clinical evaluation of surgery for osteophyte-associated dysphagia using the functional outcome swallowing scale 13 8

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Clinical evaluation of surgery for osteophyte-associated dysphagia using the functional outcome swallowing scale

Persistent ID (NDL): info:ndljp/pid/11278858

Material type: 博士論文

Author: 清水, 睦也

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Publication date: 2018-08

Material Format: Digital

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Name of awarding university/degree: 旭川医科大学,博士（医学）

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Note (General)：: PURPOSE: To investigate the surgical outcome of patients with osteophyte-associated dysphagia (OAD) using the functional outcome swallowing scale (FO...

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Material Type: 博士論文
ISSN: 1932-6203
Title: Clinical evaluation of surgery for osteophyte-associated dysphagia using the functional outcome swallowing scale
Volume: 13 8
Author/Editor: 清水, 睦也
Publication Date: 2018-08
Publication Date (W3CDTF): 2018-08
Alternative Title: 頚椎骨棘により生じた嚥下障害に対する手術のFunctional outcome swallowing scaleを使用した臨床評価
Periodical title: PLOS ONE
Degree grantor/type: 旭川医科大学
Date Granted: 2019-03-25
Date Granted (W3CDTF): 2019-03-25
Dissertation Number: 乙第480号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 乙第480号
Text Language Code: eng
Note (General): PURPOSE: To investigate the surgical outcome of patients with osteophyte-associated dysphagia (OAD) using the functional outcome swallowing scale (FOSS). METHODS: A retrospective chart review of 10 surgical cases of OAD (9 male and 1 female patient; mean age of 65 years) from 1982 to 2017 was performed, and radiographic evaluations were conducted by video fluoroscopic swallow study (VFSS) and conventional radiography. All OAD cases were treated at a single institution, and osteophytes were surgically resected by the anterior approach under gentle retraction of the affected esophagus. FOSS (0 for normal, 5 for worst) was used for clinical evaluations, and surgical complications were recorded. RESULTS: VFSS evaluation of OAD showed that the affected osteophyte was located at C4/5 in four patients, followed by C3/4 in three patients. The mean FOSS showed significant improvement from 2.5 preoperatively to 0.3 postoperatively, and no major surgical complications were recorded. Comorbidities were diabetes mellitus in four patients, ossification of the posterior longitudinal ligament in three patients, and lumbar spinal stenosis (LSS) in three patients. CONCLUSION: Surgical treatment of OAD was promising, and all patients showed clinical recovery. Evaluation of dysphagia using FOSS was easy and reliable for OAD management, and FOSS 2 might be a good indication for surgical intervention.
identifier:PMID：30067834
開始ページ : e0201559
DOI: info:doi/10.1371/journal.pone.0201559
https://doi.org/info:doi/10.1371/journal.pone.0201559
Persistent ID (NDL): info:ndljp/pid/11278858
https://dl.ndl.go.jp/pid/11278858
Collection: 障害者向け資料
Collection (Materials For Handicapped People:1): テキストデータ
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2019-05-06T10:27:56+09:00
Format (IMT): application/pdf
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): http://amcor.asahikawa-med.ac.jp/modules/xoonips/detail.php?id=20190325_O480
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp