Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science




Dr. Elyse Watkins


Dysphagia continues to be the most common postoperative complaint for patients who undergo anterior cervical discectomy and fusion (ACDF).1 Treatment modalities for dysphagia currently include systemic or local corticosteroid use, use of anti-inflammatory agents, decreasing cuff pressure intraoperatively, and use of speech therapy postoperatively.2 Evidence has noted that corticosteroid use is beneficial after ACDF in decreasing the incidence of postoperative dysphagia, reducing duration of hospital stay and decreasing pain.1 Intraoperative use of local corticosteroids or intravenous corticosteroids in the perioperative period is a plausible treatment modality to decrease prevertebral soft tissue swelling (PSTS) and subsequent dysphagia.1


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