COMPARISON OF SWALLOWING IN DIFFERENT TYPES OF PARTIAL LARYNGECTOMIES

Year 2021, Volume: 84 Issue: 4, 502 - 507, 01.10.2021

Zeynep Erdoğan Çetin , Sibel Eyigör , Kerem Öztürk Göksel Turhal , Serdar Akyıldız , Atilla Yavuzer

https://doi.org/10.26650/IUITFD.2021.839817

Abstract

Objective: We designed this study to assess and compare the effects of different partial laryngectomy (PL) techniques on swallowing. Material and Methods: Ten patients had laryngofissure with cordectomy, ten had frontal anterior laryngectomy with epiglottic reconstruction (FAL), ten had frontolateral laryngectomy (FLL), ten had cricohyoidopexy (CHP), ten had cricohyoidoepiglottopexy (CHEP), and ten had supraglotic laryngectomy. Swallowing was assessed with flexible endoscopy. Results: Mild or moderate dysphagia for solid foods was discovered significantly more often in CHP patients compared to FLL and FAL (p<0.05) patients. Dysphagia discoveries for semi-solid and liquid food didn’t significantly differ among PL’s (p>0.05). Compared to other PLs, the penetration-aspiration test with 10 ml of water was distinctly lower in cordectomy and FLL patients (p<0.05). Conclusion: Penetration and aspiration with 10 ml of water was marked lower in cordectomy and FLL patients matched to other PL patients. With studies involving more patients, it will be possible to increase the evidence value of our results.

Keywords

Partial laryngectomy, fiberoptic endoscopic evaluation of swallowing (FEES), deglutition disorders, dysphagia

FARKLI PARSİYEL LARENJEKTOMİ TEKNİKLERİNDE YUTMANIN KARŞILAŞTIRILMASI

Abstract

Amaç: Bu çalışma, farklı parsiyel larenjektomi (PL) tekniklerinin yutma üzerindeki etkilerini değerlendirmek ve karşılaştırmak amacıyla tasarlandı. Gereç ve Yöntemler: On hastada kordektomi ile laringofissür, onunda epiglotik rekonstrüksiyon (FAL) ile frontal anterior larenjektomi, on hastada frontolateral larenjektomi (FLL), on hastada krikohiyoidopeksi (CHP), on hastada krikohiyoidoepiglottopeksi (CHEP) ve diğer onunda supraglotik larenjektomi operasyonu yapılmıştı. Yutma fleksible endoskopi ile değerlendirildi. Bulgular: Katı yiyecekler için hafif veya orta derecede disfaji, CHP hastalarında FLL ve FAL hastalarına kıyasla anlamlı olarak daha sık olduğu bulundu (p<0,05). Yarı katı ve sıvı gıdalar için disfaji araştırmasında, PL’ler arasında önemli ölçüde farklılık gösterilmedi (p>0,05). Diğer PL’lere kıyasla, 10 ml su ile penetrasyon- aspirasyon testi, kordektomi ve FLL hastalarında belirgin şekilde daha düşüktü (p<0,05). Sonuç: Kordektomi ve FLL hastalarında diğer PL hastalarına göre 10 ml su ile penetrasyon ve aspirasyon testi, daha düşüktü. Daha fazla hastayı içeren çalışmalar sayesinde vermiş olduğumuz sonuçların kanıt değerinin artırılması mümkün olacaktır.

Keywords

Parsiyel larenjektomi, fiberoptik endoskopik yutma değerlendirmesi (FEYD), yutma bozuklukları, disfaji

References

• 1. Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ. Cancer statistics, 2007. CA Cancer J Clin 2007;57(1):43-66. [CrossRef]
• 2. Yücetürk AV, Günhan K. Supracricoid laryngectomy: oncological and functional outcome. Kulak Burun Bogaz Ihtis Der 2004;13(3-4):57-61.
• 3. Longeman JA. Mechanisms of normal and abnormal swallowing cummings Otolaryngology Head & Neck Surgery Mosby Elsevier. 5th Edition ed. PW F, editor. Philadelphia PA2010. [CrossRef]
• 4. Topaloglu I, Köprücü G, Bal M. Analysis of swallowing function after supracricoid laryngectomy with cricohyoidopexy. Otolaryngol Head Neck Surg 2012;146(3):412-8. [CrossRef]
• 5. Cetin ZE, Eyigor S, Ozturk K, Akagunduz O, Turhal G, Kirazli T, et al. Evaluation of the effect of various radiotherapy modalities on swallowing function in patients with nasopharyngeal cancer. Ear Nose Throat J 2019;98(9):566- 70. [CrossRef]
• 6. Rademaker AW, Logemann JA, Pauloski BR, Bowman JB, Lazarus CL, Sisson GA, et al. Recovery of postoperative swallowing in patients undergoing partial laryngectomy. Head Neck 1993;15(4):325-34. [CrossRef]
• 7. Woisard V, Puech M, Yardeni E, Serrano E, Pessey JJ. Deglutition after supracricoid laryngectomy: compensatory mechanisms and sequelae. Dysphagia 1996;11(4):265-9. [CrossRef]
• 8. Schweinfurth JM, Silver SM. Patterns of swallowing after supraglottic laryngectomy. Laryngoscope 2000;110(8):1266- 70. [CrossRef]
• 9. Adamopoulos G, Yiotakis J, Stavroulaki P, Manolopoulos L. Modified supracricoid partial laryngectomy with cricohyoidopexy: series report and analysis of results. Otolaryngology Head Neck Surg 2000;123(3):288-93. [CrossRef]
• 10. Bron L, Pasche P, Brossard E, Monnier P, Schweizer V. Functional analysis after supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Laryngoscope 2002;112(7 Pt 1):1289-93. [CrossRef]
• 11. Lima RA, Freitas EQ, Kligerman J, Dias FL, Barbosa MM, Sa GM, et al. Supracricoid laryngectomy with CHEP: functional results and outcome. Otolaryngology Head Neck Surg 2001;124(3):258-60. [CrossRef]
• 12. Alicandri-Ciufelli M, Piccinini A, Grammatica A, Chiesi A, Bergamini G, Luppi MP, et al. Voice and swallowing after partial laryngectomy: factors influencing outcome. Head Neck 2013;35(2):214-9. [CrossRef]
• 13. Bron L, Brossard E, Monnier P, Pasche P. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carcinomas. Laryngoscope 2000;110(4):627-34. [CrossRef]
• 14. de Vincentiis M, Minni A, Gallo A, Di Nardo A. Supracricoid partial laryngectomies: oncologic and functional results. Head Neck 1998;20(6):504-9. [CrossRef]
• 15. Zacharek MA, Pasha R, Meleca RJ, Dworkin JP, Stachler RJ, Jacobs JR, et al. Functional outcomes after supracricoid laryngectomy. Laryngoscope 2001;111(9):1558-64. [CrossRef]
• 16. Dworkin JP, Meleca RJ, Zacharek MA, Stachler RJ, Pasha R, Abkarian GG, et al. Voice and deglutition functions after the supracricoid and total laryngectomy procedures for advanced stage laryngeal carcinoma. Otolaryngology Head Neck Surg 2003;129(4):311-20. [CrossRef]
• 17. Longeman J. Evaluation and treatment of swallowing disorders, Austin, TX, Pro-Ed,. 2nd ed1998.
• 18. Tucker HM. Deglutition following partial laryngectomy. In: Silver CE, ed. Laryngeal Cancer. Thieme,. New York1991.
• 19. Simonelli M, Ruoppolo G, de Vincentiis M, Di Mario M, Calcagno P, Vitiello C, et al. Swallowing ability and chronic aspiration after supracricoid partial laryngectomy. Otolaryngology Head Neck Surg 2010;142(6):873-8. [CrossRef]