Clinical Conundrum: The Post-tonsillectomy Patient Who Refused to Swallow.

IF 2.3 3区 医学 Q1 OTORHINOLARYNGOLOGY
Dysphagia Pub Date : 2026-08-01 Epub Date: 2025-11-03 DOI:10.1007/s00455-025-10894-4
Chyau Hong Wong, Yi Yuan Ho, Ghin Ern Annie Chieng, Chian Ling Tang, Norsyamira Aida Mohamad Umbaik
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引用次数: 0

Abstract

Tonsillectomy is a common surgical procedure performed by otolaryngologists, primarily indicated for the management of recurrent tonsillitis and obstructive sleep apnea. While postoperative pain and hemorrhage are well-recognized complications, persistent dysphagia following tonsillectomy is rare. In such cases, a comprehensive evaluation is warranted to identify potential mechanical or functional causes. Psychogenic dysphagia is a diagnosis of exclusion and may significantly affect a patient's quality of life. Timely intervention, including detailed swallowing assessment and multidisciplinary team involvement, is essential for optimal recovery. This report presents a case of a 42-year-old male who underwent elective tonsillectomy complicated with secondary postoperative hemorrhage, followed by the development of severe dysphagia attributed to a psychogenic etiology.

临床难题:扁桃体切除术后拒绝吞咽的患者。
扁桃体切除术是耳鼻喉科医生常用的外科手术,主要用于治疗复发性扁桃体炎和阻塞性睡眠呼吸暂停。虽然术后疼痛和出血是公认的并发症,但扁桃体切除术后持续吞咽困难是罕见的。在这种情况下,需要进行全面的评估,以确定潜在的机械或功能原因。心因性吞咽困难是一种排除性诊断,可能显著影响患者的生活质量。及时的干预,包括详细的吞咽评估和多学科团队参与,是最佳恢复的必要条件。本报告报告一例42岁男性患者行选择性扁桃体切除术并发继发性术后出血,随后发展为严重的吞咽困难,归因于心因病因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Dysphagia
Dysphagia 医学-耳鼻喉科学
CiteScore
4.90
自引率
15.40%
发文量
149
审稿时长
6-12 weeks
期刊介绍: Dysphagia aims to serve as a voice for the benefit of the patient. The journal is devoted exclusively to swallowing and its disorders. The purpose of the journal is to provide a source of information to the flourishing dysphagia community. Over the past years, the field of dysphagia has grown rapidly, and the community of dysphagia researchers have galvanized with ambition to represent dysphagia patients. In addition to covering a myriad of disciplines in medicine and speech pathology, the following topics are also covered, but are not limited to: bio-engineering, deglutition, esophageal motility, immunology, and neuro-gastroenterology. The journal aims to foster a growing need for further dysphagia investigation, to disseminate knowledge through research, and to stimulate communication among interested professionals. The journal publishes original papers, technical and instrumental notes, letters to the editor, and review articles.
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