TY - JOUR
T1 - Evaluation of swallowing function after supracricoid laryngectomy as a primary or salvage procedure
AU - Bussu, Francesco
AU - Galli, Jacopo
AU - Valenza, Venanzio
AU - D'Alatri, Lucia
AU - Pizzuto, Daniele Antonio
AU - Almadori, Giovanni
AU - Giordano, Alessandro
AU - Paludetti, Gaetano
PY - 2015
Y1 - 2015
N2 - The primary functional issues following conservative therapy for advanced laryngeal cancer concern swallowing. Here, we evaluated the recovery of swallowing after supracricoid partial laryngectomy (SCL) in patients with primary or recurrent laryngeal cancer. We evaluated the swallowing recovery in 27 SCL patients through oropharyngoesophageal scintigraphy, and we evaluated their quality of life using EORTC questionnaires. Four patients underwent total laryngectomy during follow-up. Patients who retained their larynges were able to feed without nutritional support and without tracheostoma. The only significantly different parameter between the primary and salvage cases was the time elapsed to the removal of nasogastric/PEG tubes, which was longer in salvage cases. SCL has been demonstrated as a valuable option for primary and recurrent laryngeal cancer patients. The present data demonstrate good functional results, particularly in terms of swallowing after previous treatments and in primary settings. The combination of oropharyngoesophageal scintigraphy and questionnaires appears to be an adequate, standardizable approach to assessing swallowing function after SCL.
AB - The primary functional issues following conservative therapy for advanced laryngeal cancer concern swallowing. Here, we evaluated the recovery of swallowing after supracricoid partial laryngectomy (SCL) in patients with primary or recurrent laryngeal cancer. We evaluated the swallowing recovery in 27 SCL patients through oropharyngoesophageal scintigraphy, and we evaluated their quality of life using EORTC questionnaires. Four patients underwent total laryngectomy during follow-up. Patients who retained their larynges were able to feed without nutritional support and without tracheostoma. The only significantly different parameter between the primary and salvage cases was the time elapsed to the removal of nasogastric/PEG tubes, which was longer in salvage cases. SCL has been demonstrated as a valuable option for primary and recurrent laryngeal cancer patients. The present data demonstrate good functional results, particularly in terms of swallowing after previous treatments and in primary settings. The combination of oropharyngoesophageal scintigraphy and questionnaires appears to be an adequate, standardizable approach to assessing swallowing function after SCL.
KW - Deglutition
KW - Deglutition disorders
KW - EORTC QLQ
KW - Laryngeal SCC
KW - Organ preservation
KW - Salvage surgery
KW - Supracricoid surgery
KW - Swallowing scintigraphy
KW - Deglutition
KW - Deglutition disorders
KW - EORTC QLQ
KW - Laryngeal SCC
KW - Organ preservation
KW - Salvage surgery
KW - Supracricoid surgery
KW - Swallowing scintigraphy
UR - https://publicatt.unicatt.it/handle/10807/70227
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84947041292&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84947041292&origin=inward
U2 - 10.1007/s00455-015-9645-y
DO - 10.1007/s00455-015-9645-y
M3 - Article
SN - 0179-051X
VL - 30
SP - 686
EP - 694
JO - Dysphagia
JF - Dysphagia
IS - 6
ER -