Swallowing Disorders in Patients with Chiari Malformation Type I After Decompression Neurosurgery

The present study aimed to investigate postoperative swallowing disorders in patients diagnosed with CM I after decompression neurosurgery. We selected 54 neurosurgery procedure for from January 2017 December 2019. evaluated the speech-language assessment (CSLSA) 24 h post-surgical extubation. CSLSA observed aspects of posture, sensitivity, tone, and extraoral intraoral mobility FAO visualizing functions breathing, phonation, articulation, chewing, swallowing. correlated severity dysphagia presence associated malformations patients. In our study, 39 were female (mean age 41.3 ± 47.1 years). Thirty-seven had (p = 0.0243): 21 syringomyelia, 11 basilar invagination, 5 syringomyelia invagination. Dysphagia was 37 cases (68.5%; p 0.0016). Dysphonia 13 (24.1%; 0.4785) dysarthria 3 (5.6%; 0.0042). CSLSA: orofacial hypomobility (29 — 53.7%; 0.0204), hyposensitivity (26 48.1%; 0.3023), reduced GAG reflex (24 44.5%; 0.1041), ineffective cough (19 35.2%; 0.0022), saliva (18 33.3%; 0.0396), dyspnea (13 24.1%; 0.4785), hypotonia (11 20.4%; 0.0004), altered cervical auscultation (10 18.5%; 0.0003), (3 9.3%; significantly influenced appearance disorders, oropharyngeal dysphagia, complications (17 31.5%; < 0.001), clinical outcomes 0.0029) type I. Decompressive low rates overall. However, there a high incidence dysphagia. is related poorer prognosis greater