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かぐらおか 第177号
Get PDF教育・研究担当副学長に就任して 2/ 教授就任のご挨拶 4・5/ 学部学生海外留学助成制度を利用して 6/ 「高齢化対策モデル国」デンマークへの臨床留学 7/ 学生海外留学助成制度を利用して 8/ 第66回北海道地区大学体育大会結果報告 9/ 令和元年度解剖体慰霊式を執り行いました 11/ 学生表彰式 12/ 旭川医科大学基金「感謝の集い」を開催しました 15/ 学生団体代表との懇談会を実施しました 16/ ギター部・ジャズ研究会合同クリスマスコンサート 17/ 室内合奏団クリスマスコンサート 18/ ブラスアンサンブルクリスマスコンサート 19/ 合唱部クリスマスコンサート 20/ 安否確認システムによる訓練を実施しました 21/ 迷惑行為の防止について 21/ 事故防止について 22/ 大学構内における駐車について 23/ 教員の異動 23/ 今後のスケジュール 24
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
Get PDFPURPOSE:
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.博士（医学）旭川医科大
