Changes in eating habits following total and frontolateral laryngectomy

Abstract

This study showed that difficulty in swallowing is not rare in total and frontolateral laryngectomy cases. Such patients, even those who did not complain of dysphagia, also had minor difficulties while eating, and had to make some adaptations to their meals.

Diagnosis and treatment of oropharyngeal dysphagia after total laryngectomy with or without pharyngoesophageal reconstruction: Systematic review

“…None of the studies was rated level A. Thirty-two studies were rated level B and 12 studies level C, according to Siwek et al 10 Level B studies comprised one low-quality randomized controlled trial, 13 ten prospective cohorts, [14][15][16][17][18][19][20][21][22][23] ten retrospective cohorts, [24][25][26][27][28][29][30][31][32][33] two case-control studies, 34,35 and nine crosssectional studies. [36][37][38][39][40][41][42][43][44] All case series were classified as level C evidence. [45][46][47][48][49][50][51][52][53][54][55][56] None of the 44 articles met all critical appraisal criteria (Table 3).…”

“…Seventeen articles fulfilled all criteria for external validity, 13,17,22,[26][27][28]30,32,35,36,[38][39][40]44,46,49,50 and six studies did not fulfill any of these criteria. 14,19,33,34,42,45 Two of the included articles fulfilled all criteria for internal validity, 18,48 representing a low risk of bias. Fourteen articles met only 2-3 criteria for internal validity, 14,16,19,27,30,33,36,40,[51][52][53][54][55][56] indicating a high risk of bias.…”

“…Eleven studies used swallow-related questionnaires such as the MDADI, 23 48 Other methods to collect swallow-related data such as semi-structured interviews, 19,28,33,42,54 clinical assessments, 19,33,49,54,56 data collected by the speech-language therapist, 27,28,31 or self-designed questionnaires 21,29,39,49 were described too. Eleven studies used swallow-related questionnaires such as the MDADI, 23 48 Other methods to collect swallow-related data such as semi-structured interviews, 19,28,33,42,54 clinical assessments, 19,33,49,54,56 data collected by the speech-language therapist, 27,28,31 or self-designed questionnaires 21,29,39,49 were described too.…”

“…(Chemo)radiotherapy performed either preoperatively or postoperatively adversely affected swallowing. 17,18,[20][21][22][27][28][29]33,35,39,42,[48][49][50]54 Patients usually experienced OD with solid foods, resulting in significant changes in their diets (liquid diet, pureed foods, etc.). 28 The main OD symptoms reported in the studies were the following: prolonged mealtime, need for fluids to wash down a bolus, multiple swallows, avoidance of certain food consistencies, pain, coughing while eating, food "sticking" in the throat, regurgitation, and gastroesophageal reflux.…”

“…20,27,29,36,37,43 The prevalence of OD after TLE ranged from 35% to 89% 21,22,32,39,42,43 and the incidence of OD after TLE was 58%. 39,42,48 Ten studies reported a negative impact of OD on the patients' QoL. 17,18,[20][21][22][27][28][29]33,35,39,42,[48][49][50]54 Patients usually experienced OD with solid foods, resulting in significant changes in their diets (liquid diet, pureed foods, etc.).…”