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Skull Base 2009; 19(1): 099-108
DOI: 10.1055/s-0028-1103122
© Thieme Medical Publishers

Rehabilitation after Treatment for Jugular Foramen Lesions

A.D. Cheesman1 , Annette M. Kelly1
  • 1Royal National Throat, Nose, and Ear Hospital, London, United Kingdom
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Publication History

Publication Date:
12 January 2009 (online)

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ABSTRACT

Swallowing problems following jugular foramen surgery are more common than is often acknowledged and affect up to a third of our patients. They have a significant effect on quality of life. We have become more proactive in this respect and anticipate these problems before they become established. In this article we present our management protocol that has evolved over the past 30 years as a result of our experience treating 134 glomus jugulare tumors. Our current protocol involves a thorough preoperative assessment of swallowing. After jugular foramen surgery, patients undergo further evaluation using fiberoptic endoscopic evaluation of swallowing (FEES), videofluoroscopy, and manometry. Those with prolonged or poorly compensated dysphagia are offered rehabilitation surgery. We describe this technique, which has proved beneficial to our patients. Guidelines for management are proposed.

KEYWORDS

Skull base - paraganglioma - dysphagia - surgical rehabilitation of swallowing

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Professor A.D. CheesmanF.R.C.S. F.R.C.S.L.T. 

Wellington Hospital, Wellington Place

London NW8 9LE, United Kingdom

Email: drtonycheesman@aol.com