• A&A practice · Sep 2024

    Case Reports

    Case Report: Glossopharyngeal Allodynia-Related Odynophagia and Dysphagia Post Anterior Cervical Discectomy and Fusion Managed with Glossopharyngeal Nerve Block.

    • Krishna Pokuri, Alexandra Fonseca, Vijay Raj, Reda Tolba, Linda Kollenburg, Peter van der Meer, Fahed Alrowaily, Alan D Kaye, Michael E Schatman, and Christopher L Robinson.
    • From the Department of Anesthesiology, Tufts Medicine, Boston, Massachusetts.
    • A A Pract. 2024 Sep 1; 18 (9): e01849e01849.

    AbstractDysphagia after anterior cervical spine surgery has a 5% to 15% incidence beyond 1-year postsurgery, often attributed to mechanical factors such as pharyngeal thickening and epiglottis inversion. Despite normal neurological examination and electromyography, nerve distortion related to stretching also remains a possibility in these patients and may cause allodynia resulting in odynophagia and dysphagia. Current treatment options for dysphagia after anterior cervical discectomy and fusion are limited to local intraoperative steroid injections and tracheal traction exercises. In our patient, a glossopharyngeal nerve block was effectively used to manage the glossopharyngeal allodynia, thereby reducing the odynophagia and dysphagia, ultimately enhancing oral tolerance.Copyright © 2024 International Anesthesia Research Society.

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