Swallowing Function after Near-Total Laryngectomy, Cricohyoidoepiglottopexy (CHEP), and Cricohyoidopexy (CHP).

Nakayama, Meijin; Yao, Kazuo; Nishiyama, Kouichirou; Nagai, Hiromi; Ito, Akihiko; Yokobori, Satoru; Okamoto, Makito

doi:10.3950/jibiinkoka.105.8

Cited by 9 publications

(8 citation statements)

References 5 publications

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“…[10][11][12][13] Dysphagia, particularly for liquids, is reported in most cases of supracricoid laryngectomy; swallowing function may be improved by speech therapy. 14,15 In our study, 59% of patients had moderate dysphagia. Satisfactory progression was seen in 91% of cases; only 9% persisted with severe dysphagia, progressing to completion laryngectomy due to recurrence.…”

Section: Discussionmentioning

confidence: 91%

Estudo funcional da voz e da deglutição na laringectomia supracricóide

Nemr

Carvalho

Köhle³

et al. 2007

Rev. Bras. Otorrinolaringol.

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To identify the grade and evolution of dysphagia and dysphonia in patients undergoing supracricoid laringectomy, and to study the association of these findings with clinical and surgical variables. Method: The study included 22 cases undergoing supracricoid laringectomy at the Head and Neck Surgery and Otolaryngology Department of the Heliopolis Hospital -Brasil, and referred to speech therapy. Dysphagia and dysphonia were correlated with gender, age, stage T (T1, T2, T3, T4), primary site (supraglottis, glottis or subglottis), preservation of one or two arytenoids, reconstructive procedures (cricohyoidopexy or cricohyoido epiglotopexy), time to withdraw the naso-enteral tube, and time to close the tracheostomy. Statistical tests included the Chi-square and/or Fischer's exact test. Results: We observed an association between moderate grade dysphagia and the glottis as the primary site, cricohyoidoepiglotopexy as the type of reconstruction and naso-enteral tube removal within one month after the surgery. There was also an association between severe dysphagia and the supraglottis as the primary site. Dysphagia and dysphonia were associated in the degree of severity; however a larger number of patients had better progression of dysphagia compared to the progression of dysphonia. There was no statistical significance between other associations. Conclusion: Improvement of swallowing is more frequent than improvement of dysphagia. There is an association between moderate dysphagia and the glotttis as primary site, cricohyoidoepiglotopexy and naso-enteral tube removal within one month after surgery.

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Section: Discussionmentioning

confidence: 91%

Estudo funcional da voz e da deglutição na laringectomia supracricóide

Nemr

Carvalho

Köhle³

et al. 2007

Rev. Bras. Otorrinolaringol.

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“…SCL‐CHEP is a mature surgical procedure that has been widely used to treat malignant laryngeal tumors with good laryngeal function results 26‐31 . There are also limited reports of its use in laryngeal trauma 6,7 .…”

Section: Discussionmentioning

confidence: 99%

Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for patients with laryngeal cicatricial stenosis: Safety and efficacy

Zheng

Ren

et al. 2021

Head & Neck

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Background We assessed the safety and efficacy of supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCL‐CHEP) in patients with laryngeal cicatricial stenosis. Methods Sixteen patients receiving SCL‐CHEP for severe laryngeal cicatricial stenosis between 2017 and 2018 were reviewed. Decannulation rate and tracheostomy closure time were used to evaluate efficacy. The Voice Handicap Index‐10 (VHI‐10), Voice‐related Quality of Life (V‐RQOL) scale and Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale were used to assess vocal function. Fiberoptic endoscopic evaluation of swallowing (FEES) was performed and the Penetration‐Aspiration Scale (PAS), Eating Assessment Tool‐10 (EAT‐10), and Swallow Quality of Life Questionnaire (SWAL‐QOL) were used to assess swallowing function. Results Thirteen patients (81.25%) were decannulated successfully. The average tracheostomy closure time was 45.15 days. There was no observed postoperative complications or recurrence of stenosis. VHI‐10 and V‐RQOL scores showed significantly improved V‐RQOL (p < 0.05). FEES‐PAS, EAT‐10, and SWAL‐QOL showed no swallowing function damage. Conclusions SCL‐CHEP is effective and safe for patients with severe laryngeal cicatricial stenosis. Accurate pre‐procedure evaluation is especially important for patient selection and surgical success.

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“…6 Dysphagia, especially for liquids, is reported in most cases, but an improvement in swallowing thanks to rehabilitation has been welldemonstrated. 7 Dysphonia is often described as severe. Despite conflicting opinions in the literature, several studies 8,9 have shown that a high percentage of patients (between 60% and 70%) reports an improvement in their vocal pattern after voice therapy, albeit lower than that obtained in dysphagia.…”

Section: Introductionmentioning

confidence: 99%

“…Dysphagia, dysphonia and aspiration pneumonia have been recognised as the main sequelae related to OPHL Type II, able to affect negatively the physical and psychological conditions of patients 6 . Dysphagia, especially for liquids, is reported in most cases, but an improvement in swallowing thanks to rehabilitation has been well‐demonstrated 7 . Dysphonia is often described as severe.…”

Section: Introductionmentioning

confidence: 99%

Long‐term voice outcomes and quality of life after open partial horizontal laryngectomy type II vs. total laryngectomy: A cross‐sectional study

D’Alatri

Longobardi

Parrilla

et al. 2022

Clinical Otolaryngology

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Objectives We aim to analyse long‐term voice outcomes and quality of life (QoL) in patients undergoing open partial horizontal laryngectomy type II (OPHL type II) and to compare them to those obtained by patients undergoing total laryngectomy (TL) with voice prosthesis (VP). Design Cross‐sectional cohort study. Setting Patients undergoing surgery for advanced laryngeal cancer, assessed during the usual follow‐up consultations at the Phoniatric Unit (February 2020‐December 2020). Participants Forty‐five patients were enrolled and divided into two groups: OPHL group and TL group. Main outcomes measures Acoustic analysis, maximum phonation time, INFV0 scale, I‐SECEL, UW‐QoL‐V4 and MDADI questionnaires were used to assess the long‐term outcomes. Results Voices of patients undergoing OPHL Type II were worse than those of laryngectomised patients with VP. Nevertheless, scores in voice and dysphagia‐related QoL were comparable and scores in the social domain of QoL were higher in OPHL group. Conclusions Open partial horizontal laryngectomy Type II allows an acceptable voice recovery and a satisfactory QoL.

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Swallowing Function after Near-Total Laryngectomy, Cricohyoidoepiglottopexy (CHEP), and Cricohyoidopexy (CHP).

Cited by 9 publications

References 5 publications

Estudo funcional da voz e da deglutição na laringectomia supracricóide

Estudo funcional da voz e da deglutição na laringectomia supracricóide

Supracricoid partial laryngectomy with cricohyoidoepiglottopexy for patients with laryngeal cicatricial stenosis: Safety and efficacy

Long‐term voice outcomes and quality of life after open partial horizontal laryngectomy type II vs. total laryngectomy: A cross‐sectional study

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