Dysphagia After Oropharyngeal Surgery

  • Samskruthi P. Murthy
  • Krishnakumar Thankappan
  • Subramania Iyer


Swallowing is a complex process. Oropharynx plays a pivotal role in aiding the bolus to the digestive tract and to generate adequate pharyngeal pressure to push the bolus into the esophagus. Surgery of oropharynx affects both voluntary oral phase and involuntary pharyngeal phase when the base of the tongue is resected. Management of oropharyngeal cancers has evolved over decades. Historically, tumors of oropharynx were treated with surgery, through an access mandibulotomy or transpharyngeal approach. Surgical morbidity associated with this mandible access or mandibulectomy surgeries ranged from 10% to 60%. Most of the morbidity was related to swallowing and speech. Even though transpharyngeal approach had lesser morbidity ranging from 7% to 38%, it would still significantly affect swallowing [1].

Supplementary material

Video 21.1

T1 mucoepidermoid carcinoma of the right base of tongue; preoperative, Case 1 (MP4 27689 kb)

Video 21.2

Early post-op, showing slough in the wound and vallecular pooling of saliva, left side of the base of the tongue and vallecula normal, Case 1 (MP4 37332 kb)

Video 21.3

One month after surgery, wound healed well; patient is swallowing well, Case 1 (MP4 47615 kb)

Video 21.4

Oral scopy showing flap, 5 days postoperative (MP4 85928 kb)

Video 21.5

FEES, Case 2, near normal (MP4 165990 kb)

Video 21.6

VFS, Case 2, near normal (MP4 60972 kb)

Video 21.7

Scopy, Case 3 (MP4 38112 kb)

Video 21.8

FEES, Case 3 (MP4 202692 kb)

Video 21.9

VFS, Case 3 (MP4 114722 kb)

Video 21.10

Scopy, Case 4, pre- and postoperative (MP4 56677 kb)

Video 21.11

VFS, Case 4 (MP4 31535 kb)

Video 21.12

Scopy, Case 5 (MP4 204264 kb)

Video 21.13

VFS, Case 5 (MP4 20505 kb)


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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Samskruthi P. Murthy
    • 1
  • Krishnakumar Thankappan
    • 1
  • Subramania Iyer
    • 1
  1. 1.Department of Head and Neck Surgery and OncologyAmrita Institute of Medical Sciences, Amrita Vishwa VidyapeethamKochiIndia

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