[Dysphagia] patient s/p surgery

[eripley at yahoo.com (Irene Campbell-Taylor)]

If the the clinical exam shows no evidence of nerve damage or brain stem involvement or other neurological event during surgery, the problem is most likely associated with post surgical edema and/or neural edema that will resolve over time. 

Casper219@aol.com wrote:Any suggestions for a 60 y.o. male 5 weeks s/p neck surgery (C3)? During the surgery his esophagus and hypopharynx were moved out of the surgical field. His first MBS 10 days post showed he was aspirating all consistencies. He has developed a "hacking cough" that he calls aspiration bronchitis (he is a neurosurgeon). He has recently been able to initiate exercise (Masako maneuver). A follow up MBS showed trace penetration with thin liquids and improvements allowing him to consume pureed foods without aspiration. He has lost weight and is currently drinking nectar-like liquids and eating pureed food (Ensure and pudding is what he described his diet).
Thank you for any thoughts.
Mary
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Dr I Campbell-Taylor
Clinical Neuroscientist
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