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Dysphagia
Published in: Dysphagia 6/2015

01-12-2015 | Original Article

Evaluation of swallowing function after supracricoid laryngectomy as a primary or salvage procedure

Authors: Francesco Bussu, Jacopo Galli, Venanzio Valenza, Lucia D’Alatri, Daniele Antonio Pizzuto, Giovanni Almadori, Alessandro Giordano, Gaetano Paludetti

Published in: Dysphagia | Issue 6/2015

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Abstract

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.
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Metadata
Title
Evaluation of swallowing function after supracricoid laryngectomy as a primary or salvage procedure
Authors
Francesco Bussu
Jacopo Galli
Venanzio Valenza
Lucia D’Alatri
Daniele Antonio Pizzuto
Giovanni Almadori
Alessandro Giordano
Gaetano Paludetti
Publication date
01-12-2015
Publisher
Springer US
Published in
Dysphagia / Issue 6/2015
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-015-9645-y

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