The glossopharyngeal nerve lies in close proximity to the tonsillar fossa making it susceptible to injury during tonsillectomy, though it is uncommonly injured in practice. We present a case of severe dysphagia due to glossopharyngeal nerve injury following tonsillectomy and demonstrate the efficacy of the McNeill Dysphagia Therapy Program (MDTP), a novel stepwise exercise-based rehabilitation program, in improving clinical outcomes. In patients with persistent, severe dysphagia following tonsillectomy, glossopharyngeal nerve injury should be on the differential diagnosis. The MDTP is one method by which clinicians may be able to treat this complex condition.
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http://dx.doi.org/10.1136/bcr-2019-232657 | DOI Listing |
BMC Surg
January 2025
Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.
Background: Microvascular decompression (MVD) is the gold-standard surgical treatment for cranial nerve compression disorders, including trigeminal neuralgia (TN), hemifacial spasm (HFS), and glossopharyngeal neuralgia (GPN). This review synthesizes historical milestones, recent advances, and evolving techniques in MVD, with a primary focus on these conditions.
Methods: A comprehensive literature review was conducted using databases such as PubMed, SpringerLink, Google Scholar, BioMed Central, Scopus, and ScienceDirect.
Cureus
December 2024
Anesthesiology, Asahi General Hospital, Asahi, JPN.
The gagging reflex during dental treatment is a common concern for dentists and patients. Herein, we describe a novel approach to managing severe gagging reflex, termed the "KOJIMA program," using a systematic desensitization technique combined with an ultrasound-guided selective glossopharyngeal nerve block (UGSGNB). After performing the UGSGNB, the participants were trained to touch the inside of their mouths with a cotton swab.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
December 2024
Division of Neurosurgery, Children's Hospital Los Angeles, Los Angeles, California.
Background: Glossopharyngeal neuralgia (GPN) is a rare condition typically manifesting as paroxysms of sharp, lancinating pain localized to the middle ear and auditory canal, base of the tongue, tonsillar fossa, and region just inferior to the angle of the mandible. Vascular compression is a common etiology, and microvascular decompression (MVD) has been established as a safe and efficacious treatment in adults. With the exception of one report of an adult patient undergoing the procedure for symptomatology that began in adolescence, there are no published cases of MVD for GPN in pediatric patients to the author's knowledge.
View Article and Find Full Text PDFCureus
November 2024
Otolaryngology, Oita University, Yufu, JPN.
We present a case of Ramsay Hunt syndrome in a previously healthy 49-year-old male, complicated by ipsilateral glossopharyngeal, vagus, accessory, and hypoglossal nerve palsies, along with meningitis. Despite a course of antiviral therapy and steroids for meningitis, the patient experienced a relapse, developing varicella-zoster virus (VZV) brainstem encephalitis after an initial period of stability. Hunt syndrome can be encountered in otolaryngology and internal medicine, dermatology, and other specialties.
View Article and Find Full Text PDFJ Surg Case Rep
March 2024
Department of Neurosurgery, University of Maryland School of Medicine, Baltimore, 10 MD, United States.
Glossopharyngeal neuralgia is a rare condition characterized by pain along the distribution of the glossopharyngeal nerve. Surgical approaches via microvascular decompression represent a common treatment strategy. For this procedure, an understanding of the location of the cranial nerve and the offending vasculature is critically important.
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