Aim

Determine swallowing outcomes following corpus callosotomy (CC) surgery.

Methods

Retrospective chart review of patients undergoing CC between July 2016 and November 2018 at a large, urban children’s hospital.

Results

Of the 18 patients without prior history of dysphagia who underwent CC, 15 received speech pathology consults for bedside swallowing evaluation (BSE). Four patients were referred for a videofluroscopic swallow study (VFSS), and 3 showed no signs of difficulty and were advanced to regular diets with thin liquids. One patient demonstrated swallowing difficulties during the VFSS and was placed on a regular diet with nectar thick liquids. Following a repeat swallow study 17 days post-surgery, the patient was advanced to thin liquids.

Interpretation

Postoperative dysphagia following CC is an uncommon and transient complication. Patients undergoing CC should have their swallowing evaluated prior to advancing their postoperative diet but are likely to return to normal diet and thin liquids by discharge.

中文翻译：

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胼胝体切开术后吞咽结果的观察报告

目的

确定胼胝体切开术 (CC) 手术后的吞咽结果。

方法

2016 年 7 月至 2018 年 11 月期间在大型城市儿童医院接受 CC 患者的回顾性图表审查。

结果

在接受 CC 的 18 名既往无吞咽困难病史的患者中，15 名接受了语言病理学咨询以进行床边吞咽评估 (BSE)。4 名患者被转诊进行视频荧光镜吞咽研究 (VFSS)，3 名患者没有出现任何困难的迹象，并进入常规饮食和稀薄液体饮食。一名患者在 VFSS 期间表现出吞咽困难，并被置于含有花蜜粘稠液体的常规饮食中。在术后 17 天重复吞咽研究后，患者进入稀液体状态。

解释

CC 术后吞咽困难是一种罕见且短暂的并发症。接受 CC 的患者应在推进术后饮食之前评估其吞咽情况，但可能会在出院后恢复正常饮食和稀液体。