Uchyłki przedniej ściany gardła po laryngektomii całkowitej

Grochowska-Bohatyrewicz, Ewa; Tarnowska, Czesława; Posio, Violetta; Walecka, Anna

doi:10.1016/s0030-6657(10)70023-8

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…They found no association with tumor size, the addition of neck dissection, or post‐operative radiotherapy. Further studies have confirmed these findings 8,21 . Fistula formation has also been disproved as a cause of pseudo‐epiglottis 2,6,22,23 …”

Section: Discussionmentioning

confidence: 87%

Swallowing outcomes following division of pseudo‐epiglottis resulting from vertical pharyngeal closure in laryngectomy

et al. 2023

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Background: Vertical closure of the pharynx after laryngectomy can result in an outpouch of the anterior wall of the neopharynx below the tongue base, called a pseudo-diverticulum. The prolapsed mucosa that separates the rest of the neopharynx from the pseudo-diverticulum is termed a pseudo-epiglottis.Methods: Prospective study of patients with pseudo-epiglottis. M. D. Anderson Dysphagia Inventory (MDADI) scores were used to assess swallowing outcomes pre-and post-pseudo-epiglottis division, including minimally clinically important difference (MCID) assessment.Results: Of 16 patients with a pseudo-epiglottis, 12 had dysphagia (75%). Symptomatic patients had significantly worse global MDADI and subscale scores. After division, the mean composite MDADI increased from 48.3 to 64.7 (p = 0.035), including a high MCID (16.4) with a similar improvement in the global question rating findings (31.1 vs. 60, p = 0.021). The MCID was significant for all MDADI subscales. Conclusions: Pseudo-epiglottis formation is associated with significantly worse global and subscale MDADI scores. A clinically-and statisticallysignificant improvement in the MDADI scores was found following surgical division.

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Section: Discussionmentioning

confidence: 87%

Swallowing outcomes following division of pseudo‐epiglottis resulting from vertical pharyngeal closure in laryngectomy

et al. 2023

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“…Lippert et al also noted correlation between neo-vallecula formation and neopharyngeal closure, with 67% of reported T-type closure patients and 100% of longitudinal closure patients developing a neo-vallecula [ 8 ] ( Table 1 ). In contrast with the above, some studies have found no correlation between neo-vallecula and closure technique, pharyngocutaneous fistula incidence, or radiotherapy [ 6 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

CO2 Laser Division of Neo-Vallecula Improves Dysphagia in the Postlaryngectomy Patient: A Case Series and Review of the Literature

Saltagi

Wallace

Mantravadi

et al. 2020

Case Reports in Otolaryngology

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Objectives. To review the literature on neo-vallecula diagnosis and management and to report our findings regarding 3 patients who developed neo-vallecula in the context of free-flap pharyngeal reconstruction following total laryngectomy. Methods. This case series reports three patients who developed a neo-vallecula following a laryngectomy and free-flap pharyngeal reconstruction. All three patients were treated with a CO2 laser endoscopic procedure. Results. Neo-vallecula formation is thought to be related to tension on the neopharyngeal closure or closure technique following total laryngectomy. Diagnosis may be obtained with swallow studies, videofluoroscopy, or endoscopy. Treatment has included external excision and endoscopic procedures such as stapling, harmonic scalpel excision, and laser removal. We utilized an endoscopic approach entailing the use of a CO2 laser to divide the neo-vallecula, and all our patients reported improvement in their dysphagia. Conclusions. Treatment of an anterior neo-vallecula endoscopically using a CO2 laser is an effective way to treat dysphagia in patients following total laryngectomy with free-flap pharyngeal reconstruction.

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Uchyłki przedniej ściany gardła po laryngektomii całkowitej

Abstract: This study indicates that leaving hyoid bone is a major risk factor for developing pseudoepiglottis.

Cited by 2 publications

References 16 publications

Swallowing outcomes following division of pseudo‐epiglottis resulting from vertical pharyngeal closure in laryngectomy

Swallowing outcomes following division of pseudo‐epiglottis resulting from vertical pharyngeal closure in laryngectomy

CO2 Laser Division of Neo-Vallecula Improves Dysphagia in the Postlaryngectomy Patient: A Case Series and Review of the Literature

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