Videofluoroscopy-Guided Balloon Dilatation for the Opening Dysfunction of Upper Esophageal Sphincter by Postoperative Vagus Nerve Injury: A Report on Two Cases

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Á¤º¸¶ó(Jung Bo-Ra) - Hallym University College of Medicine Department of Physical Medicine and Rehabilitation
ÃÖÀÍÁØ(Choi Ik-Jun) - Hallym University College of Medicine Department of Physical Medicine and Rehabilitation
À̳²Àç(Lee Nam-Jae) - Hallym University College of Medicine Department of Physical Medicine and Rehabilitation
Á¤±¤ÀÍ(Jung Kwang-Ik) - Hallym University College of Medicine Department of Physical Medicine and Rehabilitation
À¯¿ì°æ(Yoo Woo-Kyoung) - Hallym University College of Medicine Department of Physical Medicine and Rehabilitation
¿Â¼®ÈÆ(Ohn Suk-Hoon) - Hallym University College of Medicine Department of Physical Medicine and Rehabilitation

Abstract

Dysphagia secondary to peripheral cranial nerve injury originates from weak and uncoordinated contraction-relaxation of cricopharyngeal muscle. We report on two patients who suffered vagus nerve injury during surgery and showed sudden dysphagia by opening dysfunction of upper esophageal sphincter (UES). Videofluoroscopy-guided balloon dilatation of UES was performed. We confirmed an early improvement of the opening dysfunctions of UES, although other neurologic symptoms persisted. While we did not have a proper comparison of cases, the videofluoroscopy-guided balloon dilatation of UES is thought to be helpful for the early recovery of dysphagia caused by postoperative vagus nerve injury.

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Dysphagia, Balloon dilatation, Vagus nerve injuries
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