Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2020; 8(6): 1142-1149
Published online Mar 26, 2020. doi: 10.12998/wjcc.v8.i6.1142
Hyoid-complex elevation and stimulation technique restores swallowing function in patients with lateral medullary syndrome: Two case reports
Yu-Er Jiang, Qian-Qian Lyu, Feng Lin, Xue-Ting You, Zhong-Li Jiang
Yu-Er Jiang, Qian-Qian Lyu, Feng Lin, Xue-Ting You, Zhong-Li Jiang, Department of Rehabilitation Medicine, Sir Run Run Hospital, Nanjing Medical University, Nanjing 211100, Jiangsu Province, China
Yu-Er Jiang, Qian-Qian Lyu, Feng Lin, Xue-Ting You, Zhong-Li Jiang, Department of Rehabilitation Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China
Author contributions: Jiang YE performed the swallowing treatment for the two patients, reviewed the literature, and drafted the manuscript; Lyu QQ was the bedside clinician of Case 1 and contributed to manuscript drafting; You XT was the bedside clinician of Case 2 and contributed to manuscript drafting; Lin F and Jiang ZL were the proposers of the technique and responsible for the manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Zhong-Li Jiang, MD, PhD, Director, Doctor, Full Professor, Postdoc, Department of Rehabilitation Medicine, Sir Run Run Hospital, Nanjing Medical University, 109 Longmian Avenue, Nanjing 211100, Jiangsu Province, China. jiangzhongli@njmu.edu.cn
Received: November 25, 2019
Peer-review started: November 25, 2019
First decision: February 20, 2020
Revised: February 24, 2020
Accepted: March 5, 2020
Article in press: March 5, 2020
Published online: March 26, 2020
Core Tip

Core tip: For dysphagia treatment of lateral medullary syndrome, hyoid-complex elevation and stimulation technique is a novel technique that combines balloon dilation with electromyography-triggered electrical stimulation to restore swallowing function. It is easy to operate, safe for patients, and effective for shortening the in-hospital time. This case report suggests a new treatment for dysphagia patients, especially for those who cannot achieve the expected effect with traditional therapy.