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He got nourishment by gastrostomy for two years after the first attack. He had come to be able to take meals by oral attributed to the combination of orofacial and pharyngeal surgery and dysphagia rehabilitation. The 56 years old man caught subarachnoid hemorrhage caused by ruptured neurysm of vertebral artery, and also caught right medulla infarction causing incurable bulbar paralysis and severe left side palsy. The patient visited our clinic one year after the attack. We found that the cricopharyngeal dysfunction was developed in the first videofluoroscopic examination of swallowing (VFG). Since more than a year had past from the attack, it was obvious that this was not the case of dysphagia rehabilitation but the surgical correction should be choused at that time. We, therefore, introduced him to the otolaryngology and he underwent the surgery of cricopharyngeal myotomy and laryngeal suspension two years after the attack. Eight days after the operation the rehabilitation was started since it was found that the upper esophageal sphincter (UES) opened efficiently in the second VFG. Then, in the process of rehabilitaion, it was clarified that chin forward lead to opening the UES by using the VFG and videoendoscopy. As a result of continuous training, he had come to be able to eat foods by oral, taking meals with his family. In this case, both of surgical operation in otolaryngology and rehabilitation were essential for the improvement. This case strongly suggested that multi-occupational cooperation may be important to treat a patient with severe dysphagia.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "150464", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Adachi, Taiga"}]}, {"nameIdentifiers": [{"nameIdentifier": "150465", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ootaki, Sachiko"}]}, {"nameIdentifiers": [{"nameIdentifier": "150466", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Inoue, Makoto"}]}, {"nameIdentifiers": [{"nameIdentifier": "150467", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yamada, Yoshiaki"}]}]}, "item_7_publisher_7": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "\u65b0\u6f5f\u6b6f\u5b66\u4f1a"}]}, "item_7_select_19": {"attribute_name": "\u8457\u8005\u7248\u30d5\u30e9\u30b0", 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