Surgical treatment of persistent dysphagia in stroke patients using a newly reconstructed conduit from the anterior mouth

Hui Hsiu Chang, Samir Mardini, Wen Hsuan Hou, Yueh Bih Tang, Christopher J. Salgado, Prashanth Varkey, Hung Chi Chen

研究成果: 雜誌貢獻文章

1 引文 (Scopus)

摘要

Dysphagia is common after stroke and may result in malnutrition and aspiration. To prevent the risk of aspiration and to improve the nutritional status, patients with dysphagic stroke have to give up oral intake and become dependent on tube feeding. Restoration of the patients' ability to resume aspiration free oral feeding is important. A 55-year-old male presented following a brainstem stroke and dysphagia. He was treated with a free jejunal flap to divert food from the anterior mouth to the cervical esophagus. Although the flap underwent partial loss, this was reconstructed with a tubed deltopectoral flap, and following a revision procedure for stricture, the patient's diet was advanced to a regular diet. At follow-up, the patient was able to eat by mouth without tube feeding. The application of this diversion technique to treat patients with a medical disease (i.e., stroke) is a step toward resuming oral feedings in this group of patients.

原文英語
頁(從 - 到)283-288
頁數6
期刊Journal of Reconstructive Microsurgery
23
發行號5
DOIs
出版狀態已發佈 - 七月 2007
對外發佈Yes

指紋

Deglutition Disorders
Mouth
Stroke
Enteral Nutrition
Therapeutics
Brain Stem Infarctions
Diet
Free Tissue Flaps
Nutritional Status
Malnutrition
Esophagus
Pathologic Constriction
Food

ASJC Scopus subject areas

  • Surgery

引用此文

Surgical treatment of persistent dysphagia in stroke patients using a newly reconstructed conduit from the anterior mouth. / Chang, Hui Hsiu; Mardini, Samir; Hou, Wen Hsuan; Tang, Yueh Bih; Salgado, Christopher J.; Varkey, Prashanth; Chen, Hung Chi.

於: Journal of Reconstructive Microsurgery, 卷 23, 編號 5, 07.2007, p. 283-288.

研究成果: 雜誌貢獻文章

Chang, Hui Hsiu ; Mardini, Samir ; Hou, Wen Hsuan ; Tang, Yueh Bih ; Salgado, Christopher J. ; Varkey, Prashanth ; Chen, Hung Chi. / Surgical treatment of persistent dysphagia in stroke patients using a newly reconstructed conduit from the anterior mouth. 於: Journal of Reconstructive Microsurgery. 2007 ; 卷 23, 編號 5. 頁 283-288.
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