Voice and swallowing after partial laryngectomy: Factors influencing outcome1. Issue 2 (6th February 2012)

• Record Type: Journal Article
• Authors: Alicandri–Ciufelli, Matteo; Piccinini, Alessia; Grammatica, Alberto; Chiesi, Andrea; Bergamini, Giuseppe; Luppi, Maria Pia; Nizzoli, Federica; Ghidini, Angelo; Tassi, Sauro; Presutti, Livio
• Is Part Of: Head & neck. Volume 35:Issue 2(2013:Feb.)
• Page Start: 214
• Page End: 219
• Publication Date: 2012-02-06
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.22946
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="abs1-1" sec-type="section"> <title>Background</title> <p>The purpose of this study was to assess the factors influencing swallowing and phonatory results after partial laryngectomy.</p> </sec> <sec id="abs1-2" sec-type="section"> <title>Methods</title> <p>We carried out a medical chart review of patients who underwent partial laryngectomies between June 2003 and November 2010, focusing on functional outcomes.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>Results</title> <p>Thirty‐two patients were enrolled. No statistically significant difference was found in the comparison of phonatory outcomes of patients with preservation of both arytenoids; the results of the Yanagihara classification were significantly different (<italic>p</italic> = .015) in patients with an atypical neoglottis; radiotherapy statistically significantly influenced only the mean fundamental frequency (<italic>p</italic> = .035). The type of partial laryngectomy does not seem to affect the deglutition results; radiotherapy statistically significantly affected the dysphagia score (DS; <italic>p</italic> = .03), penetration aspiration (<italic>p</italic> = .02), and MD Anderson Dysphagia Inventory (MDADI; <italic>p</italic> = .02).</p> </sec> <sec id="abs1-4" sec-type="section"> <title>Conclusion</title> <p>Horizontal supraglottic laryngectomy and supracricoid partial laryngectomy give the same swallowing results. The presence of both arytenoids does not influence the final outcome compared to patients in whom only 1 arytenoid is preserved. Postoperative radiotherapy only influences the swallowing function. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</p> </sec> </abstract>