ArticleCancers2020
Pre- and Post-Surgical Dysphagia in Adults with Tumors of the Posterior Fossa: A Prospective Blinded Study.
Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of dysphagia following posterior fossa tumor resection: a systematic review and meta‑analysis.BMC cancer · 2024Pooled it
- Assessment of the role and effectiveness of nurse-led multimodal intervention in the rehabilitation of dysphagia in patients with brain tumors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Trial
- PRIMARY INTRACRANIAL TUMORS: PROGNOSTIC FACTORS OF ORAL INTAKE SCALE OF PATIENTS PRE AND POST SURGICAL TREATMENT.Arquivos de gastroenterologia · 2026Observational
- Risk factors and quality of life in adults with dysphagia after posterior skull base surgery: a cross-sectional study.Frontiers in oncology · 2025Article
- The effectiveness of kinesiology taping on dysphagia in brain tumor survivors after neurosurgery: study protocol for a pilot randomized controlled trial.Frontiers in medicine · 2025Article
- Intensive care unit-acquired dysphagia - change in feeding route after a standardized dysphagia assessment in neurocritical care patients.Scientific reports · 2024Article
- Prevalence, recovery and phenotype of dysphagia in patients with ischaemic cerebellar stroke.European journal of neurology · 2024Article
- Voxel-based lesion symptom mapping analysis for dysphagia in stroke patients with isolated cerebellar lesions.Journal of neural transmission (Vienna, Austria : 1996) · 2022Article
- Outcome of Elderly Patients With Surgically Treated Brain Metastases.Frontiers in oncology · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile swallowing disorders are frequent sequela following posterior fossa tumor (PFT) surgery in children, data on dysphagia frequency, severity, and outcome in adults are lacking. The aim of this study was to investigate dysphagia before and after surgical removal of PFT. Additionally, we tried to identify clinical predictors for postsurgical swallowing disorders. Furthermore, this study explored the three-month outcome of dysphagic patients.
methodsIn a cohort of patients undergoing PFT surgery, dysphagia was prospectively assessed pre- and postoperatively using fiberoptic endoscopic evaluation of swallowing. Patients with severe dysphagia at discharge were re-evaluated after three months. Additionally, clinical and imaging data were collected to identify predictors for post-surgical dysphagia.
resultsWe included 26 patients of whom 15 had pre-operative swallowing disorders. After surgery, worsening of pre-existing dysphagia could be noticed in 7 patients whereas improvement was observed in 2 and full recovery in 3 subjects. New-onset dysphagia after surgery occurred in a minority of 3 cases. Postoperatively, 47% of dysphagic patients required nasogastric tube feeding. Re-evaluation after three months of follow-up revealed that all dysphagic patients had returned to full oral intake.
conclusionDysphagia is a frequent finding in patients with PFT already before surgery. Surgical intervention can infer a deterioration of impaired swallowing function placing affected patients at temporary risk for aspiration. In contrast, surgery can also accomplish beneficial results resulting in both improvement and full recovery. Overall, our findings show the need of early dysphagia assessment to define the safest feeding route for the patient.
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