Voice and swallowing after partial laryngectomy: Factors influencing outcome

Alicandri‐Ciufelli, Matteo; Piccinini, Alessia; Grammatica, Alberto; Chiesi, Andrea; Bergamini, Giuseppe; Luppi, Marcello; Nizzoli, Federica; Ghidini, Angelo; Tassi, Sauro; Presutti, Livio

doi:10.1002/hed.22946

Cited by 35 publications

(36 citation statements)

References 27 publications

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“…Alicandri-Ciufelli et al have reported that the type of partial laryngectomy does not seem to affect the deglutition results, whereas radiotherapy significantly and negatively affected the dysphagia score [8] . To our knowledge, the present study is the second in the literature to evaluate postoperative functions between SGHL and SCPL.…”

Section: Discussionmentioning

confidence: 99%

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

Bilici

Kaan

Ozgur

et al. 2017

JOA

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ObjectivesThe aim of this study was to compare the functional outcomes (including swallowing, respiration and phonation) of supraglottic horizontal laryngectomy (SGHL) and supracricoid partial laryngectomy (SCPL). MethodsThe clinical and pathological data were evaluated for 36 previously untreated patients who were diagnosed ResultsThe SGHL group contained 15 patients and the SCPL group contained 21 patients (14 cases of cricohyoidoepiglottopexy (CHEP) and 7 cases of cricohyoidopexy (CHP)). The mean age of the subjects was 57.4 years in the SGHL group, and 59.7 in the SCPL group. Patients in the SGHL group were decannulated after 65.2 days, whereas the average decannulation time was 72.6 days in the SCPL group. This difference in decannulation time between the groups was not statistically significant (p>0.05). The mean hospitalisation time was 23 days, with no statistically significant difference between the groups (>0.05). The nasogastric tube was removed from the patients after 37.9 days in the SGHL group and after 35.8 days in the SCPL group. No statistically significant difference was determined in the time to start feeding between the groups (p>0.05).Surgical wound infection, the occurrence of pharyngo-cutaneous fistulas and rupture of the pexy sutures were complications. ConclusionFunctional outcomes of SCPL were similar to those of patients who underwent SGHL. The preservation of the hyoid bone is the most important consideration for preserving the swallowing function.

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Section: Discussionmentioning

confidence: 99%

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

Bilici

Kaan

Ozgur

et al. 2017

JOA

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“…Other limitations of this literature search result from our inclusion and exclusion criteria. A lot of studies were excluded because of their limited patient population, whereas a few studies were excluded because TNM stage was not well documented or the study was published in or before 1990 …”

Section: Discussionmentioning

confidence: 99%

Supracricoid laryngectomy and dysphagia: A systematic literature review

et al. 2015

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A high incidence of dysphagia was reported after supracricoid laryngectomy. However, good recovery rates were observed with low incidence of severe complications. The included studies used different methods and standards to start oral intake, remove the nasogastric feeding tube, and observe swallow function. Homogenous study population and standardized guidelines on how to handle the pre- and postoperative course after supracricoid laryngectomy and how to measure swallow function could improve further research.

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“…Some authors defend that the decanulation time 1,26,36 , the concomitance with adjuvant therapies such as radiotherapy 6,10,11,37 , the patient age 5,8,9,38 , and the performance of cervical esvaziation 11 are factors that influence on general quality of life, affecting emotional and socials aspects 12,16 . Early decanulated patients are more satisfied with their quality of life than those who remained with the tracheostomy for a long period of time 11,13,26,38 , since besides affecting directly the feeding and increasing the permanence in hospital 35 , the presence of the tracheal cannula affects significantly the voice, contributing for a difficulty in the speech intelligibility with a consequent prejudice in social communication¹.…”

Section: Sewnaikmentioning

confidence: 99%

“…Early decanulated patients are more satisfied with their quality of life than those who remained with the tracheostomy for a long period of time 11,13,26,38 , since besides affecting directly the feeding and increasing the permanence in hospital 35 , the presence of the tracheal cannula affects significantly the voice, contributing for a difficulty in the speech intelligibility with a consequent prejudice in social communication¹. Thus, patients tend to have a better self-assessment of quality of life when they are without the nasogastric tube, decanulated and with the possibility of social eating 7,8,26,37 .…”

Section: Sewnaikmentioning

confidence: 99%

Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

Oliveira

Marialva

2016

Rev. CEFAC

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Supracricoid Partial Laryngectomy (SCPL) is indicated for treatment of tumors staging 1 and 2, and some cases of advanced tumors. It is considered by literature as presenting satisfactory results for both, preservation of larynx and its functionality. This study aimed a systematic review of literature on voice related quality of life in patients submitted to SCPL, identifying protocols of quality of life regarding head and neck cancer. The following database was consulted for the systematic exploratory literature review: MEDLINE, SCIELO, LILACS; PUBMED. Portuguese, English and Spanish-language descriptors (DeCS) were used. The selection of articles followed inclusion criteria for Relevance Test appliance. This literature review revealed that the protocols used specifically with oncologic patients of head and neck, were mainly EORTC-C30/H&N35, UW-QOL and HNQOL. The SCPL even though to be considered a surgery that allows the preservation of swallowing and phonation functions is pointed as having the possibility of remaining complaints in such functions. Literature affirms that patients were satisfied with their own voice, having little difficulty in order to communicating in a intelligible way. Studies report patients with breathing difficulties after SCPL, including obstructive sleep apnea. It was concluded further researches aiming at pointing the difficulties resultant from SCPL and using more specific head and neck protocols are necessary, which may better reveal the impact of SCPL on quality of life. Keywords: Voice; Dysphonia; Head and Neck Neoplasms; Laryngectomy; Quality of Life RESUMO A Laringectomia Parcial Supracricóide (LPSC) é indicada para tratamento de tumores com estadiamento1 e 2 e certos casos de tumores avançados. É considerada pela literatura como apresentando resultados satisfatórios em ambas situações, preservação da laringe e funcionalidade. Este estudo tem como objetivo rever de forma sistemática a literatura voltada para qualidade de vida em voz de pacientes submetidos a LPSC, identificando-se os protocolos de qualidade de vida em câncer de cabeça e pescoço. Para a revisão de literatura sistemática exploratória foram considerados os seguintes bancos de dados: MEDLINE, SciELO, LILACS; PubMed. Utilizados descritores em português, inglês e espanhol. A seleção dos artigos seguiu critérios de inclusão, para aplicação de teste de Relevância. Esta revisão de literatura revelou que os protocolos específicos para pacientes oncológicos de cabeça e pescoço mais utilizados são o EORTC-C30/H&N35, UW-QOL e HNQOL. A LPSC embora seja considerada uma cirurgia que vise à preservação das funções de deglutição e fonação é apontada como tendo possibilidade de permanência de queixas em tais funções. A literatura afirma que os pacientes se declaram satisfeitos com a própria voz, tendo pouca dificuldade para se comunicar de forma inteligível. Estudos relacionam pacientes com dificuldades respiratórias após LPSC, inclusive com apneia obstrutiva do sono. Conclui-se que ha necessidade de mais pesquisas que v...

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Voice and swallowing after partial laryngectomy: Factors influencing outcome

Cited by 35 publications

References 27 publications

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

The Comparison Of Functional Outcomes Between Supraglottic Horizontal Laryngectomy And Supracricoid Partial Laryngectomy

Supracricoid laryngectomy and dysphagia: A systematic literature review

Laringectomias supracricóides: revisão de literatura em protocolos de qualidade de vida

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