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The diagnosis was progressive esophagus cancer (T3N0M0 Stage\u2162) and right esophagectomy and 3-field lymph node dissection surgery were performed in April 2013. After the operation, the dyspnea caused by the bilateral recurrent laryngeal nerve paralysis was observed and tracheostomy was undergone. The patient was admitted to the Unit of Dysphagia Rehabilitation on the 14th day after the operation. The first examination of swallowing function showed the dysarthria with shortened maximum phonation time. The modified water swallow test score was 3a. In the endoscopic examination, the bilateral glottis and arytenoid represented paresis and whiteout during swallowing was weakened. The diagnosis was dysphagia in the pharyngeal stage caused by the bilateral recurrent laryngeal nerve paralysis. Supraglottic swallow and pushing exercise were conducted as the indirect therapy; in addition, thickened water swallowing was also tasked as the direct one. The videofluoroscopic examination showed the penetration during liquid swallowing. Although the pharyngeal residue after solid food swallowing also remained, the clearance in the pharyngeal region was accomplished by added swallowing. Therefore\uff0cdirect therapy was started using the adjusted meal. After swallowing function was improved, the fine progress admitted to leave the hospital on the 25th day. On the 49th day after therapy started, the videofluoroscopic evaluation showed the bolus stasis. After the esophagus extension was performed in digestive surgery, the videofluoroscopic assessment showed improvement of bolus stasis. Although the stasis at the anastomosis was still observed, the status of swallow function showed satisfactory and stable.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_7_publisher_7": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "\u65b0\u6f5f\u6b6f\u5b66\u4f1a", "subitem_publisher_language": "ja"}]}, "item_7_source_id_11": {"attribute_name": "\u66f8\u8a8c\u30ec\u30b3\u30fc\u30c9ID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "0385-0153", "subitem_source_identifier_type": "PISSN"}]}, "item_access_right": {"attribute_name": "\u30a2\u30af\u30bb\u30b9\u6a29", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u5c0f\u5c71, \u5409\u4eba", "creatorNameLang": "ja"}, {"creatorName": "Koyama, Yoshito", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "\u771f\u67c4, \u4ec1", "creatorNameLang": "ja"}, {"creatorName": "Magara, Jin", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "\u8c37\u53e3, \u88d5\u91cd", "creatorNameLang": "ja"}, {"creatorName": "Taniguchi, Hiroshige", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "\u6817\u7530, \u6d69", "creatorNameLang": "ja"}, {"creatorName": "Kurita, Hiroshi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "\u4e95\u4e0a, \u8aa0", "creatorNameLang": "ja"}, {"creatorName": "Inoue, Makoto", "creatorNameLang": "en"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "date": [{"dateType": "Available", "dateValue": "2022-05-26"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "44(1)_33-36.pdf", "filesize": [{"value": "968KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": "968KB", "url": {"objectType": "fulltext", "url": "https://niigata-u.repo.nii.ac.jp/record/2000507/files/44(1)_33-36.pdf"}, "version_id": "724a9896-7b91-416f-8bf6-2502d77f8c8a"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "\u98df\u9053\u764c\u8853\u5f8c", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "postoperative esophageal cancer", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u4e21\u5074\u53cd\u56de\u795e\u7d4c\u9ebb\u75fa", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "bilateral recurrent laryngeal nerve paralysis", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "\u6442\u98df\u56a5\u4e0b\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3", "subitem_subject_language": "ja", "subitem_subject_scheme": "Other"}, {"subitem_subject": "dysphagia rehabilitation", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "jpn"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "\u98df\u9053\u764c\u8853\u5f8c\u306b\u4e21\u5074\u53cd\u56de\u795e\u7d4c\u9ebb\u75fa\u3092\u8a8d\u3081\u305f\u4e00\u4f8b", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "\u98df\u9053\u764c\u8853\u5f8c\u306b\u4e21\u5074\u53cd\u56de\u795e\u7d4c\u9ebb\u75fa\u3092\u8a8d\u3081\u305f\u4e00\u4f8b", "subitem_title_language": "ja"}, {"subitem_title": "Bilateral Recurrent Laryngeal Nerve Paralysis Following Resection of Esophageal Carcinoma : Case Report", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["453/456", "432/1291/1292/1653527550041"], "permalink_uri": "http://hdl.handle.net/10191/0002000507", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2022-05-26"}, "publish_date": "2022-05-26", "publish_status": "0", "recid": "2000507", "relation": {}, "relation_version_is_last": true, "title": ["\u98df\u9053\u764c\u8853\u5f8c\u306b\u4e21\u5074\u53cd\u56de\u795e\u7d4c\u9ebb\u75fa\u3092\u8a8d\u3081\u305f\u4e00\u4f8b"], "weko_shared_id": -1}