Comparison of long-term functional results between standard supracricoid laryngectomy and modified technique with sternohyoid muscle

Güneş, Selçuk; Orhan, Kadir Serkan; Başaran, Bora; Çelık, Mehmet; Kiyak, Erkan

doi:10.1016/j.bjorl.2018.02.007

Cited by 3 publications

(4 citation statements)

References 23 publications

(40 reference statements)

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“…Furthermore, pharyngocutaneous fistula and surgical wound infection are frequent complications associated with increased length of hospital stay and the need for a new surgical intervention 15 . In this context, functional and structural changes and possible treatment complications impact patients' QoL, mainly in the elderly 16 . Moreover, chemotherapy and radiation therapy can be integrated into treatment and cause sequelae.…”

Section: Discussionmentioning

confidence: 99%

Evolution of the quality of life of total laryngectomy patients using electrolarynx

Monte,

Simão,

Reis Junior

et al. 2024

Rev. Assoc. Med. Bras.

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OBJECTIVE: Therapy and vocal rehabilitation in laryngeal cancer impact patients' quality of life. The objective of this study was to evaluate the evolution of the quality of life of patients with laryngeal cancer submitted to total laryngectomy and using electrolarynx. METHODS: This is an observational study with a cross-sectional design and a quantitative approach. It was conducted between April 2022 and January 2023 in a Brazilian cancer hospital. For data collection, a quality of life questionnaire, validated for patients with head and neck cancer at the University of Washington, was applied in two phases: from 7 days after total laryngectomy and, subsequently, from 70 days after surgery using electronic larynx for at least 60 days. The inclusion criteria were patients undergoing total laryngectomy included on the Aldenora Bello Cancer Hospital's election list to receive the electronic larynx. Patients who did not sign the informed consent form were not included. RESULTS: The sample consisted of 31 patients, of which approximately 84% were men and approximately 93% at the age of 50 years or older. When comparing the phases, it is possible to observe that the item speech had the greatest progress, while chewing had the least. Only the item recreation, swallowing, taste, and saliva did not show any statistical significance. The score for the general quality of life questions increased. CONCLUSION: Electronic larynx is a viable and useful method of voice rehabilitation. Our data suggest that the use of the electrolarynx as a postlaryngectomy method of verbal communication is responsible for positive effects on patients' quality of life.

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Section: Discussionmentioning

confidence: 99%

Evolution of the quality of life of total laryngectomy patients using electrolarynx

Monte,

Simão,

Reis Junior

et al. 2024

Rev. Assoc. Med. Bras.

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“…The recovery of the swallowing function is another important parameter after OPHL. Oral intake has been reported to range from 3 to 45 days after surgery [ 27 ]. In our study, we identified 11.9 mean post-operative days of restarting oral feeding, consistent with other studies.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Laryngeal Cancer Surgery after Open Partial Horizontal Laryngectomies with Lateral Cervical Approach

Colizza

Ralli

Stadio

et al. 2022

JCM

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Background: Open partial horizontal laryngectomies (OPHL) are one of the surgical techniques used for the conservative management of laryngeal cancers. The aims of this study are to analyze the oncological and functional results of a group of patients affected by laryngeal squamous cell carcinoma (LSCC) treated with OPHL, performed using a minimally invasive technique. Methods: This is a prospective case–control study. We enrolled 17 consecutive patients with LSCC treated with OPHL through a lateral cervical approach (LCA). Patients were evaluated using their Penetration Aspiration Scale score (liquid, semiliquid and solid) and Voice Handicap Index (VHI) at three different endpoints: 15 days (T1), 3 months (T2), and 6 months (T2) after surgery. Results: The functional outcomes of the LCA are stackable with that of the classical anterior cervical approach in terms of respiration, swallowing, and speech. One-way ANOVA was performed to evaluate the variances of PAS and VHI scores at the three different observation points. No statistically significant differences were observed between OPHL- PAS scores for liquid (p = 0.1) at the three different observation points. A statistically significant improvement was observed in the OPHL- PAS score for semisolids and solids (p < 0.00001) between T1 and T3 (p = 0.0001) and for solids between T2 and T3 (p < 0.00001). The improvement of VHI-10 was statistically significative (p < 0.00001) at the three different observation points (T1–T2 and T2–T3). Conclusion: The LCA is a potential approach for laryngeal surgery in selected cases. The preoperative staging and planning are of the utmost importance to ensure oncological radicality. The main advantage of this approach is the preservation of the healthy tissues surrounding the larynx and the functional and oncological outcomes are stackable with the classic anterior cervical approach.

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“…26,27 The preservation of vocal and laryngeal function is always recommended, SCL represents one of the alternatives adopted to replace TL, because in addition to being adopted as an initial treatment, it can also be indicated in cases of extralaryngeal dissemination and local reinfections. 1,27 However, TL are currently the most indicated and adopted for tumors that have an extralaryngeal spread and in cases of local recurrence, in which no other approach can be performed. 24 OPHLs have excellent overall survival, disease-free survival and TL-free survival, in addition to having the aim of preserving laryngeal functions: phonation, swallowing and breathing.…”

Section: Discussionmentioning

confidence: 99%

“…Laryngeal cancer (LC) is the most common cancer that affects the upper respiratory tract and the second most routine among those that affect the respiratory system worldwide, second only to lung cancer. [1][2][3] Among the various types of cancers that affect the head and neck, laryngeal cancer is the most recurrent, representing 25% of all neoplasms in the area. [4][5][6] Regarding gender, this pathology predominates in males, in a ratio of 4 to 1 in relation to females.…”

Section: Introductionmentioning

confidence: 99%

Clinical Implications of Larynge Cancer

Duccini¹,

Costa²

2022

JHS

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Introduction: Laryngeal cancer, the main neoplasm of the upper respiratory tract. It predominantly affects males. The indicated treatment varies according to the stage and extent of the tumor. Regardless of the treatment used, there can be damage to the voice, which affects the patient's dialogue and well-being. Therefore, determining the clinical implications associated with the different types of treatment becomes important, as well as the role of rehabilitation in this process. Objectives: To verify the clinical implications in laryngeal cancer. In addition to authenticating or contradicting whether there are benefits in vocal rehabilitation. Methods: Literary review, using 31 articles found in the main databases using DeCs descriptors, and selected articles in Portuguese, English and Spanish. Results: Through the studies it was possible to observe the existence of several treatment modalities that are used in this cancer, from radiotherapy to total laryngectomy. It also made it possible to visualize the increasing modification of the ideal treatment over the years, with the aim of improving disease-free survival and improving laryngeal function. Another point was in relation to vocal rehabilitation. While differences were found regarding the benefit of rehabilitation in patients undergoing radiotherapy, in patients treated with surgery, especially total laryngectomy, the benefit of vocal rehabilitation was very evident. conclusions: This review made it possible to verify the clinical implications of laryngeal cancer associated with its various treatments, in addition to confirming the effectiveness of vocal rehabilitation on voice and quality of life in patients with laryngeal cancer.

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Comparison of long-term functional results between standard supracricoid laryngectomy and modified technique with sternohyoid muscle

Abstract: Although there is no statistical difference in functional outcome comparisons, if rules are adhered to in preoperative patient selection, modified supracricoid partial laryngectomy can be applied safely and meaningful gains can be achieved in functional outcomes.

Cited by 3 publications

References 23 publications

Evolution of the quality of life of total laryngectomy patients using electrolarynx

Evolution of the quality of life of total laryngectomy patients using electrolarynx

Outcomes of Laryngeal Cancer Surgery after Open Partial Horizontal Laryngectomies with Lateral Cervical Approach

Clinical Implications of Larynge Cancer

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