Supracricoid Partial Laryngectomy: Swallowing, Voice, and Speech Outcomes

Abstract

The patients tolerated regular diets, yet continued to exhibit silent aspiration and a variety of decompensations. Their voices were breathy, rough, and strained. Their voice quality ratings improved over the year. Group changes were not captured, and it appears that the changes in speech and voice 2 months after surgery were subtle.

Atypical neoglottis after supracricoid laryngectomy: a morphological and functional analysis

“…Moreover, in that study, the MPT was not significantly affected by arytenoid removal suggesting well-tolerated recovery of the glottal closure after removal of the arytenoid and reconstruction of the neoglottis. The 0-4,000 Hz spectrogram was type IV in every case (in type IV, noise prevails over the harmonic components) and this is consistent with the perceptual data and with other studies in identifying rough and noisy waveforms [10].…”

“…3) b Fiberoptic laryngoscopy examination during phonation: Curled (omega shaped) epiglottis faces the arytenoids by its free edges; a arytenoids, e epiglottis, bt base of tongue ranging from 0 to 40) of 11.6 was obtained (range 6-24); in the literature, there are several studies [8][9][10][11] in which the patients' self-satisfaction was evaluated using the VHI questionnaire, but with the 30-item VHI [12] (final score ranging from 0 to 120), the score ranged from 45 to a little over 60. In general, studies in the literature [11] Regarding the mean MPT (12 s; range 4-26 s), this was comparable with the results of other case series: a report on MPT of the post-operative voice in four patients [13] found a mean value of 10 s (range 6-16 s); in another study [8], the results were similar to that report (mean MPT of 4.29 s), showing the breathiness of the voice.…”

Quality of Life After Conservation Surgery for Laryngeal Cancer

“…SCPL routinely results in some degree of long-term trace aspiration once the patient resumes full oral diet, but this does not necessarily translate into significantly morbid aspiration events and is well tolerated by most patients after a period of adaptation. 42 Castro and colleagues 43 found that with proper patient selection, dysphagia scores remained excellent after SCPL and comparable to those observed after chemoradiation.…”

Post-Surgical and Oncologic Outcomes of Supracricoid Partial Laryngectomy: A Single-Institution Report of Ninety Cases

“…Also one patient required total laryngectomy due to severe swallowing difficulty and intractable aspiration. It is clear that the presence of a functional arytenoid helps laryngeal sphincter mechanism; however, the negative impact of unilateral arytenoid resection has been debated in previous studies [8,24,25]. We found that resection of one arytenoid significantly increased NG removal time.…”