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Voice and swallowing after partial laryngectomy: Factors influencing outcome
Author(s) -
Alicandri–Ciufelli Matteo,
Piccinini Alessia,
Grammatica Alberto,
Chiesi Andrea,
Bergamini Giuseppe,
Luppi Maria Pia,
Nizzoli Federica,
Ghidini Angelo,
Tassi Sauro,
Presutti Livio
Publication year - 2013
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.22946
Subject(s) - swallowing , medicine , laryngectomy , dysphagia , larynx , arytenoid cartilage , surgery
Background The purpose of this study was to assess the factors influencing swallowing and phonatory results after partial laryngectomy. Methods We carried out a medical chart review of patients who underwent partial laryngectomies between June 2003 and November 2010, focusing on functional outcomes. Results Thirty‐two patients were enrolled. No statistically significant difference was found in the comparison of phonatory outcomes of patients with preservation of both arytenoids; the results of the Yanagihara classification were significantly different ( p = .015) in patients with an atypical neoglottis; radiotherapy statistically significantly influenced only the mean fundamental frequency ( p = .035). The type of partial laryngectomy does not seem to affect the deglutition results; radiotherapy statistically significantly affected the dysphagia score (DS; p = .03), penetration aspiration ( p = .02), and MD Anderson Dysphagia Inventory (MDADI; p = .02). Conclusion Horizontal supraglottic laryngectomy and supracricoid partial laryngectomy give the same swallowing results. The presence of both arytenoids does not influence the final outcome compared to patients in whom only 1 arytenoid is preserved. Postoperative radiotherapy only influences the swallowing function. © 2012 Wiley Periodicals, Inc. Head Neck, 2013