{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:24:21Z","timestamp":1789683861993,"version":"4.0.1"},"reference-count":19,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T00:00:00Z","timestamp":1581292800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Surgical procedure is considered in patients with severe dysphagia when conservative treatment fails. This study aimed to evaluate laryngeal suspension (LS) and upper esophageal sphincter (UES) myotomy for treating severe dysphagia due to brain disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Fourteen patients underwent LS and UES myotomy, with a median follow-up of 5\u2009years and 6\u2009months when conservative treatment failed. The penetration-aspiration scale (PAS), the Dysphagia Severity Scale (DSS), the Eating Status Scale (ESS), and diet contents were evaluated just before surgery, at discharge, and at the last follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Preoperative intake was tube feeding in all patients. The patients learned the extended head and flexed neck posture to open the esophageal inlet. PAS, DSS and ESS scores, and diet contents were significantly improved at discharge compared with before surgery, and were maintained until the last follow-up. Eight patients had pneumonia during their hospital stay, and five had pneumonia between discharge and at the last follow-up. Age was significantly, negatively correlated with DSS and ESS at the last follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although LS and UES myotomy require a long inpatient rehabilitation and the risk of pneumonia after surgery is high, the outcome is favorable and the effects last for a long time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489420904741","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T05:16:40Z","timestamp":1581311800000},"page":"689-694","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Effect of Laryngeal Suspension and Upper Esophageal Sphincter Myotomy for Severe Dysphagia Due to Brainstem Disease"],"prefix":"10.1177","volume":"129","author":[{"given":"Seiko","family":"Shibata","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9472-0081","authenticated-orcid":false,"given":"Hitoshi","family":"Kagaya","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunori","family":"Ozeki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiichi","family":"Saitoh","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoichiro","family":"Aoyagi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine I, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihiro","family":"Iwata","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Sakurai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine, Fujita Health University, Toyoake, Aichi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,2,10]]},"reference":[{"key":"bibr1-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1177\/014556139407300109"},{"key":"bibr2-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1016\/0016-5085(88)90290-9"},{"key":"bibr3-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(99)80013-X"},{"key":"bibr4-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1959.04320030069013"},{"key":"bibr5-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-195909000-00002"},{"key":"bibr6-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(69)90213-X"},{"key":"bibr7-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197603000-00004"},{"key":"bibr8-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180686590"},{"key":"bibr9-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700804"},{"key":"bibr10-0003489420904741","first-page":"782","volume":"36","author":"Tanahashi T.","year":"1993","journal-title":"Oto Rhino Larngology"},{"key":"bibr11-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-199812000-00008"},{"issue":"6","key":"bibr12-0003489420904741","first-page":"G1518","volume":"272","author":"Shaker R","year":"1997","journal-title":"Am J Physiol"},{"key":"bibr13-0003489420904741","first-page":"105","volume":"3","author":"Hojo K","year":"2006","journal-title":"Jpn J Speech Lang Hear Res"},{"key":"bibr14-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1007\/BF00417897"},{"key":"bibr15-0003489420904741","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-10-5032-9_5"},{"key":"bibr16-0003489420904741","unstructured":"Guide for the Uniform Data Set for Medical Rehabilitation (Adult FIMTM Instrument), Version 5.1. 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