{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T16:42:30Z","timestamp":1760200950112,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Cervical chordoma is a rare, low\u2010grade primary bone tumor occurring in the axial skeleton. Due to challenges in surgical exposure caused by anatomic location, patients may experience dysfunction in speech and swallowing. The objective of this study was to characterize speech and swallowing outcomes for patients undergoing surgical resection of cervical chordoma. Moreover, we detail in\u2010depth two cases with similar initial presentations to compare prognostic factors and management strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eleven patients with histologically confirmed cervical chordoma treated between 1993 and 2020 were included in this retrospective case series. Outcomes measured included overall survival, disease\u2010free survival, need for enteral feeds, as well as results of modified barium swallow study (MBSS) and fiberoptic laryngoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age at diagnosis was 55.9\u2009years. The patient population was 81.8% male. Mean survival after diagnosis was 96\u2009months. Four (36.4%) patients required post\u2010operative MBSS and demonstrated aspiration. All four of these patients presented with tumors in the superior cervical spine and received surgeries utilizing anterior approaches. Of the four, 2 required enteral feeds long\u2010term. Four (36.4%) patients endorsed dysphonia. One patient developed post\u2010operative right vocal fold paresis. The remaining three patients experienced stable dysphonia pre\u2010 and post\u2010operatively. Additionally, three (27%) patients required tracheostomy placement, two of which remained in place long\u2010term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dysphagia is a common side effect of cervical chordoma resection. It is associated with the use of an anterior approach during resection and with tumors located in the superior cervical spine. Patients with postoperative dysphagia should receive early multidisciplinary swallow rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 134:3706\u20133712, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.31418","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T03:21:56Z","timestamp":1711596116000},"page":"3706-3712","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Speech and Swallowing Outcomes of Surgically Managed Cervical Chordoma: A Case Series"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4351-1962","authenticated-orcid":false,"given":"Alice C.","family":"Yu","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery, David Geffen School of Medicine University of California Los Angeles, Los Angeles (UCLA)  Los Angeles 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