Volume 20 Issue 10
Oct.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(10): 1809-1812
FAN Liu-bo, HAN Wen-sheng, ZHANG Lu-ding, LUO Mi-mi. Treatment of dysphagia after cholesteatoma of cerebellopontine angle by injection of botulinum toxin type A in circumpharyngeal muscle: A case report[J]. Chinese Journal of General Practice, 2022, 20(10): 1809-1812. doi: 10.16766/j.cnki.issn.1674-4152.002708
Citation: FAN Liu-bo, HAN Wen-sheng, ZHANG Lu-ding, LUO Mi-mi. Treatment of dysphagia after cholesteatoma of cerebellopontine angle by injection of botulinum toxin type A in circumpharyngeal muscle: A case report[J]. Chinese Journal of General Practice, 2022, 20(10): 1809-1812. doi: 10.16766/j.cnki.issn.1674-4152.002708
shu

Treatment of dysphagia after cholesteatoma of cerebellopontine angle by injection of botulinum toxin type A in circumpharyngeal muscle: A case report

doi: 10.16766/j.cnki.issn.1674-4152.002708
  • 1.

    Department of Rehabilitation of Medical, Taizhou Hospital of Zhejiang Province, Shaoxing University, Taizhou, Zhejiang 317000, China

Funds:

 LSY19H170001

 2017KY707

 YBJG2019084

  • Received Date: 2021-02-25
    Available Online: 2022-11-30
    Abstract
  • Cholesteatoma is called pearl tumor or epidermoid cyst, pathological place is in brain and ear more, can cause the pathological changes such as cholesteatoma of intracranial cholesteatoma, external auditory canal cholesteatoma. This disease is rare in clinical practice, involving the ring pharyngeal muscle cases are rarer. This case was the first time that cholesteatoma of cerebellopontine angle had been found to involve the cricopharyngeal muscle, resulting in the cricopharyngeal muscle dysplasia and severe swallowing dysfunction. In this case, for the first time, we adopt catheter balloon joint ultrasound guided botulinum toxin injections cerebellopontine angle cholesteatoma ring slow pharynx muscle loss, with past measures such as CT, electromyography positioning compared with no radiation, the advantages of the trauma of tiny, precise positioning, in the technical scheme for swallowing disorder accurate treatment research provided important reference basis.

     

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    • References(27)
  • [1]
    HASEGAWA M, NOURI M, NAGAHISA S, et al. Cerebellopontine angle epidermoid cysts: Clinical presentations and surgical outcome[J]. Neurosurg Rev, 2016, 39(2): 259-267. doi: 10.1007/s10143-015-0684-5
    [2]
    段玉杰, 谢利民, 胡彦军, 等. 先天性胆脂瘤[J]. 临床医药文献电子杂志, 2020, 7(15): 175-176. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX202015156.htm

    DUAN Y J, XIE L M, HU Y J, et al. Congenital cholesteatoma[J]. Journal of Clinical Medical Literature, 2020, 7(15): 175-176. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX202015156.htm
    [3]
    任鸿翔, 张黎, 申宇晓, 等. 桥小脑角区肿瘤继发颅神经疾患的临床特点及疗效研究[J]. 中华神经创伤外科电子杂志, 2021, 7(3): 177-181. doi: 10.3877/cma.j.issn.2095-9141.2021.03.010

    REN H X, ZHANG L, SHEN Y X, et al. Study on clinical characteristics and therapeutic effect of cranial nerve disease secondary to cerebellar pontine angle tumors[J]. Chinese Journal Of Neurotraumatic Surgery: Electronic Edition, 2021, 7(3): 177-181. doi: 10.3877/cma.j.issn.2095-9141.2021.03.010
    [4]
    牛丽, 李彦杰, 秦合伟, 等. 脑卒中后吞咽障碍康复评估和治疗研究进展[J]. 中国医药导报, 2020, 17(28): 48-51, 63. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202028013.htm

    NIU L, LI Y J, QIN H W, et al. Research progress on rehabilitation assessment and treatment of dysphagia after stroke[J]. China Medical Herald, 2020, 17(28): 48-51, 63. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202028013.htm
    [5]
    刘爱玲, 袁淑娟, 张慧. 神经变性病吞咽障碍评估方法进展[J]. 中华物理医学与康复杂志, 2018, 40(5): 393-396. doi: 10.3760/cma.j.issn.0254-1424.2018.05.021

    LIU A L, YUAN S J, ZHANG H. Advances in evaluation methods for swallowing disorders in neurodegenerative diseases[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2018, 40(5): 393-396. doi: 10.3760/cma.j.issn.0254-1424.2018.05.021
    [6]
    谭鑫. 基于循证构建脑卒中吞咽障碍患者管理方案及效果评价[J]. 中国卫生产业, 2020, 17(19): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY202019014.htm

    TAN X. Evidence-based management plan and effect evaluation of stroke patients with dysphagia[J]. China Health Industry, 2020, 17(19): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-WSCY202019014.htm
    [7]
    LANGMORE S E. history of fiberoptic endoscopic evaluation of swallowing for evaluation and management of pharyngeal dysphagia: Changes over the years[J]. Dysphagia, 2017, 32(1): 27-38. doi: 10.1007/s00455-016-9775-x
    [8]
    陈鹏. 医学影像学技术在颅内胆脂瘤诊治中的应用研究[J]. 中国现代药物应用, 2021, 15(14): 35-38. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY202114013.htm

    CHEN P. Application of medical imaging techniques in diagnosis and treatment of intracranial cholesteatoma[J]. Chinese Journal of Modern Drug Application, 2021, 15(14): 35-38. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWYY202114013.htm
    [9]
    ZOIA C, PUSATERI A, CARENA P, et al. Frontal sinus cholesteatoma with intracranial complication[J]. ANZ J Surg, 2018, 88(2): 110-112.
    [10]
    钱小蕾. 球囊扩张术治疗环咽肌失迟缓的疗效观察[J]. 临床医药文献电子杂志, 2020, 7(39): 39. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX202039034.htm

    QIAN X L. Clinical observation of balloon dilatation in the treatment of cricopharyngeal myostasis[J]. Journal of Clinical Medical Literature(Electronic Edition), 2020, 7(39): 39. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX202039034.htm
    [11]
    金琳娜, 廖志平, 邹朝君. 导管球囊扩张术治疗脑卒中患者环咽肌功能障碍的研究进展[J]. 中华物理医学与康复杂志, 2018, 40(12): 957-960.

    JIN L N, LIAO Z P, ZOU C J. Research progress of catheter balloon dilatation in the treatment of cricopharyngeal muscle dysfunction in stroke patients[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2018, 40(12): 957-960.
    [12]
    CHANDRASEKHARA V, KOH J, LATTIMER L, et al. Endoscopic balloon catheter dilatation via retrograde or static technique is safe and effective for cricopharyngeal dysfunction[J]. World J Gastrointest Endosc, 2017, 9(4): 183-188.
    [13]
    XIE M, ZENG P, WAN G, et al. The effect of combined guidance of botulinum toxin injection with ultrasound, catheter balloon, and electromyography on neurogenic cricopharyngeal dysfunction: A prospective study[J]. Dysphagia, 2021. DOI: 10.1007/s00455-021-10310-7.
    [14]
    潘盛盛, 倪彬婷, 李力群. A型肉毒毒素连续注射和单次注射矫正咬肌肥大的效果比较[J]. 中华全科医学, 2016, 14(10): 1616-1618, 1685. doi: 10.16766/j.cnki.issn.1674-4152.2016.10.003

    PAN S S, NI B T, LI L Q. Clinical differences between sequential injection and single injection of botulinum toxin type A for curing masseteric hypertrophy[J]. Chinese Journal of General Practice, 2016, 14(10): 1616-1618, 1685. doi: 10.16766/j.cnki.issn.1674-4152.2016.10.003
    [15]
    王静, 胡建武, 左卫堂, 等. A型肉毒素在皮肤科的应用[J]. 皮肤病与性病, 2021, 43(1): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-PFBX202101008.htm

    WANG J, HU J W, ZUO W T, et al. Application of Botulinum toxin type A in dermatology[J]. Journal of Dermatology and Venereology, 2021, 43(1): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-PFBX202101008.htm
    [16]
    JEONG S H, KIM Y J, KIM Y J, et al. Endoscopic Botulinum toxin injection for treatment of pharyngeal dysphagia in patients with cricopharyngeal dysfunction[J]. Scand J Gastroenterol, 2018, 53(10-11): 1201-1205.
    [17]
    张广东, 袁牧, 李伍好, 等. CT引导下肺穿刺活检术出血与气胸并发症的主要影响因素分析[J]. 中华全科医学, 2021, 19(5): 771-774. doi: 10.16766/j.cnki.issn.1674-4152.001913

    ZHANG G D, YUAN M, LI W H, et al. Analysis of the main influencing factors of bleeding and pneumothorax complication under CT-guided lung biopsy[J]. Chinese Journal of General Practice, 2021, 19(5): 771-774. doi: 10.16766/j.cnki.issn.1674-4152.001913
    [18]
    岳寿伟, 怀娟, 关家文, 等. 食管球囊造影联合CT引导下环咽肌肉毒毒素注射治疗脑干损伤后吞咽障碍1例报告[J]. 中国康复医学杂志, 2017, 32(9): 1046-1048. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201709016.htm

    YUE S W, HUAI J, GUAN J W, et al. Esophageal balloon angiography combined with CT-guided cyclopharyngeal muscle toxin injection for the treatment of dysphagia after brain stem injury: A case report[J]. Chinese Journal of Rehabilitation Medicine, 2017, 32(9): 1046-1048. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201709016.htm
    [19]
    王兰珍, 徐利萍, 徐淑芬, 等. 循证视角下脑卒中吞咽障碍患者护理管理方案及效果评价[J]. 中华全科医学, 2021, 19(3): 508-510, 514. doi: 10.16766/j.cnki.issn.1674-4152.001848

    WANG L Z, XU L P, XU S F, et al. Nursing management plan and effect evaluation of stroke patients with dysphagia from the evidence-based perspective[J]. Chinese Journal of General Practice, 2021, 19(3): 508-510, 514. doi: 10.16766/j.cnki.issn.1674-4152.001848
    [20]
    管文娟, 陈霞, 胡伟, 等. 过程指标在急性脑卒中吞咽障碍患者早期康复中的应用价值[J]. 安徽医学, 2020, 41(5): 587-590. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202005028.htm

    GUAN W J, CHEN X, HU W, et al. Application value of process index in early rehabilitation of patients with dysphagia after acute stroke[J]. Anhui Medical Journal, 2020, 41(5): 587-590. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX202005028.htm
    [21]
    张学敏, 毕胜, 许亚飞, 等. 超声引导下A型肉毒毒素注射治疗脑干梗死环咽肌失弛缓症1例报告[J]. 中国康复医学杂志, 2019, 34(2): 216-218. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201902021.htm

    ZHANG X M, BI S, XU Y F, et al. A case report of ultrasound-guided botulinum toxin type A injection in treatment of cricopharyngeal muscle achalasia of brainstem infarction[J]. Chinese Journal of Rehabilitation Medicine, 2019, 34(2): 216-218. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF201902021.htm
    [22]
    WANG Y C, SHYU S G, WU C H, et al. Ultrasound-guided injection of Botulinum toxin for cricopharyngeal dysphagia[J]. Am J Phys Med Rehabil, 2018, 97(10): e102-e103.
    [23]
    林晓婷, 杨海云, 栗晓, 等. 超声引导肉毒毒素注射治疗环咽肌功能障碍探讨[J]. 中山大学学报(医学版), 2018, 39(3): 472-476. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSYK201803024.htm

    LIN X T, YANG H Y, LI X, et al. Therapeutic effects of ultrasound-guided injection of botulinum toxin type A into the cricopharyngeus muscle for cricopharyngeal dysfunction[J]. Journal of Sun Yat-sen University(Medical Sciences), 2018, 39(3): 472-476. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSYK201803024.htm
    [24]
    刘尧, 熊苗苗, 陈立平, 等. CT引导下骶髂关节注射治疗产后骶髂关节炎的回顾性分析[J]. 中国疼痛医学杂志, 2020, 26(1): 69-71. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ202001018.htm

    LIU Y, XIONG M M, CHEN L P, et al. Retrospective analysis of CT-guided sacroiliac joint injection for postpartum sacroiliac arthritis[J]. Chinese Journal of Pain Medicine, 2020, 26(1): 69-71. https://www.cnki.com.cn/Article/CJFDTOTAL-ZTYZ202001018.htm
    [25]
    刘阳, 刘玉驰, 姚祥巍, 等. 肌电图引导下药物注射治疗臀小肌肌筋膜炎疗效观察[J]. 黑龙江科学, 2021, 12(2): 52-53. https://www.cnki.com.cn/Article/CJFDTOTAL-HELJ202102016.htm

    LIU Y, LIU Y C, YAO X W, et al. Curative observation of medication injection treatment of gluteus minimus myofascitis under the guidance of electromyography[J]. Heilongjiang Science, 2021, 12(2): 52-53. https://www.cnki.com.cn/Article/CJFDTOTAL-HELJ202102016.htm
    [26]
    陈思明, 王月香, 朱亚琼, 等. 超声引导下颈神经根阻滞的临床应用进展[J]. 中国医药, 2020, 15(11): 1811-1813. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202011038.htm

    CHEN S M, WANG Y X, ZHU Y Q, et al. Clinical application progress of cervical nerve root block under ultrasound guidance[J]. China Medicine, 2020, 15(11): 1811-1813. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202011038.htm
    [27]
    李楠, 李巍, 王涛, 等. A型肉毒毒素应用方向的进展[J]. 中国临床研究, 2020, 33(12): 1723-1725. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202012034.htm

    LI N, LI W, WANG T, et al. Progress in application direction of botulinum toxin type A[J]. Chinese Journal of Clinical Research, 2020, 33(12): 1723-1725. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202012034.htm
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