What to do if the swallowing nerves are damaged

Mar 26, 2023 Source: Cainiu Health
Dr. Xu Gang
Introduction
If swallowing nerve damage is caused by syringobulbia, medications that nourish the nerves—such as mecobalamin tablets, vitamin B6 tablets, and vitamin B12 tablets—can be used under a doctor's guidance. If skull base fracture occurs, surgical treatment is usually required, such as posterior fossa decompression or tracheotomy. In cases of cervical dislocation, treatments may include cervical spinal fusion or internal fixation surgery.

The management of damaged swallowing nerves depends on the underlying cause. Common causes include syringobulbia, skull base fractures, cervical dislocation, and others.

1. Syringobulbia

If the condition arises from an extension of cervical syringomyelia or abnormal neural development leading to syringobulbia, treatment may involve neurotrophic medications under a doctor's guidance. Commonly used drugs include mecobalamin tablets, vitamin B6 tablets, and vitamin B12 tablets, which help maintain normal nervous system function.

2. Skull Base Fracture

If a skull base fracture compresses the glossopharyngeal nerve, surgical intervention is typically required, such as posterior fossa decompression or tracheotomy. These procedures help repair the fractured area and improve the patient's respiratory function.

3. Cervical Dislocation

If trauma or external force to the head and neck results in cervical dislocation that damages the hypoglossal nucleus, surgical treatments such as cervical segmental fusion or internal fixation may be performed to restore cervical spine function.

In addition, conditions such as meningitis may also be responsible. It is recommended to seek timely medical evaluation, identify the specific cause, and undergo appropriate treatment accordingly.