Yongkui Yu1, Yin Li1,2, Yingmin Lu3, Xionghuai Hua4, Haibo Ma1, Haomiao Li1, Xiufeng Wei5, Jun Zhang1, Xiankai Chen2, Qi Liu1, Zhengshuai Zhu6, Lei Xu2, Ruixiang Zhang1, Haibo Sun1, Zongfei Wang1. 1. Department of Thoracic Surgery, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450000, China. 2. Department of Thoracic Surgery, Cancer Hospital Chinese Academy of Medical Sciences, Beijing 100000, China. 3. Department of Thoracic Surgery, The Zhengzhou Center Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, China. 4. Department of Thoracic Surgery, He'nan Chest Hospital, Zhengzhou 450000, China. 5. Department of Thoracic Surgery, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453000, China. 6. Department of Thoracic Surgery, Nanyang Central Hospital, Nanyang 473000, China.
Abstract
BACKGROUND: Esophageal cancer patients can benefit from dissection of the recurrent laryngeal nerve (RLN) lymph node (LN); however, this procedure increases the risk of RLN injury. After nerve injury, many complications can occur, including choking cough, which can affect patients' quality of life. This study examined the effectiveness of the chin-down-plus-larynx-tightening maneuver for improving choking cough after radical thoracic esophageal cancer surgery. METHODS: Sixty-two patients with resectable thoracic esophageal cancer presented with choking cough, hoarseness or vocal cord paralysis after radical operations. Twenty-two patients who choked on water were guided to swallow 1 mL of warm water using a chin-down-plus-larynx-tightening maneuver. Choking cough relief results and their relationships with clinical factors were analyzed. RESULTS: No correlation was found between the occurrence of post-operative choking cough and gender, age, surgical method, hoarseness, vocal cord fixation type, vocal cord fixation, or glottal closure. Multivariate regression analysis revealed no independent risk factors associated with choking cough. Choking cough was completely relieved in 17 of 22 (77.3%) patients. Fifteen of 19 (78.9%) patients with choking cough and hoarseness, and 2 of 3 patients with only choking cough reported complete relief when they tried the new maneuver. The chin-down-plus-larynx-tightening maneuver was more effective for males than for females. CONCLUSIONS: The chin-down-plus-larynx-tightening maneuver significantly relieved choking cough; thus, this maneuver can aid in managing choking cough after radical thoracic esophageal cancer surgery.
BACKGROUND: Esophageal cancer patients can benefit from dissection of the recurrent laryngeal nerve (RLN) lymph node (LN); however, this procedure increases the risk of RLN injury. After nerve injury, many complications can occur, including choking cough, which can affect patients' quality of life. This study examined the effectiveness of the chin-down-plus-larynx-tightening maneuver for improving choking cough after radical thoracic esophageal cancer surgery. METHODS: Sixty-two patients with resectable thoracic esophageal cancer presented with choking cough, hoarseness or vocal cord paralysis after radical operations. Twenty-two patients who choked on water were guided to swallow 1 mL of warm water using a chin-down-plus-larynx-tightening maneuver. Choking cough relief results and their relationships with clinical factors were analyzed. RESULTS: No correlation was found between the occurrence of post-operative choking cough and gender, age, surgical method, hoarseness, vocal cord fixation type, vocal cord fixation, or glottal closure. Multivariate regression analysis revealed no independent risk factors associated with choking cough. Choking cough was completely relieved in 17 of 22 (77.3%) patients. Fifteen of 19 (78.9%) patients with choking cough and hoarseness, and 2 of 3 patients with only choking cough reported complete relief when they tried the new maneuver. The chin-down-plus-larynx-tightening maneuver was more effective for males than for females. CONCLUSIONS: The chin-down-plus-larynx-tightening maneuver significantly relieved choking cough; thus, this maneuver can aid in managing choking cough after radical thoracic esophageal cancer surgery.
Authors: Francois D H Gould; Jocelyn Ohlemacher; Andrew R Lammers; Andrew Gross; Ashley Ballester; Luke Fraley; Rebecca Z German Journal: J Appl Physiol (1985) Date: 2015-12-17
Authors: L Pertl; J Zacherl; G Mancusi; J N Gächter; R Asari; S Schoppmann; W Bigenzahn; B Schneider-Stickler Journal: Eur Arch Otorhinolaryngol Date: 2011-06-25 Impact factor: 2.503
Authors: Francois D H Gould; Andrew R Lammers; Jocelyn Ohlemacher; Ashley Ballester; Luke Fraley; Andrew Gross; Rebecca Z German Journal: Dysphagia Date: 2015-08-19 Impact factor: 3.438