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Surgical rehabilitation of swallowing with polydimethylsiloxane injections after open partial horizontal laryngectomy: Long‐term functional results and quality of life
Author(s) -
Mattioli Francesco,
Fernandez Ignacio Javier,
Bassano Edoardo,
Luppi Maria Pia,
Bonali Marco,
Ghidini Angelo,
Trebbi Marco,
Bergamini Giuseppe,
Presutti Livio,
Botti Cecilia
Publication year - 2021
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.26584
Subject(s) - swallowing , dysphagia , laryngectomy , medicine , quality of life (healthcare) , rehabilitation , surgery , physical therapy , larynx , nursing
Background Swallowing disorders are common problems after partial laryngectomy. The aim of this study is to illustrate the long‐term functional results of rehabilitation of swallowing by polydimethylsiloxane (PDMS) injection. Methods Twenty‐eight patients with dysphagia after partial laryngectomy who underwent injection of PDMS for rehabilitation of swallowing were included in the study. Impairment of swallowing and quality of life (QoL) were investigated with questionnaires: M. D. Anderson Dysphagia Inventory (MDADI) and Performance Status Scale for Head and Neck Cancer (PSS‐HNC). Functional results at fiberoptic endoscopic evaluation of swallowing (FEES) were analyzed using a modified penetration‐aspiration scale. Results Mean follow‐up was 8.5 years. Twenty‐six patients showed an improvement at questionnaires ( p < 0.001). Median improvement was 6 ( p < 0.001) in the modified penetration‐aspiration scale. Total laryngectomy was required in one patient. Conclusions PDMS injection is a good option for rehabilitation of swallowing in case of dysphagia after partial laryngectomy. It improves QoL and the results persist after a long follow‐up period.