Videofluoroscopic evaluation of the swallowing function after supracricoid laryngectomy

Simple item page
dc.contributor.authorYücetürk A.V.
dc.contributor.authorTarhan S.
dc.contributor.authorGünhan K.
dc.contributor.authorPabuşçu Y.
dc.date.accessioned2024-07-22T08:24:09Z
dc.date.available2024-07-22T08:24:09Z
dc.date.issued2005
dc.description.abstractThis study was designed to evaluate the swallowing function in patients with supracricoid laryngectomy (SCL) compared to normal subjects and to search for the factors affecting postoperative aspiration. Ten patients who underwent SCL with cricohyoidopexy (CHP) for primary laryngeal squamous cell carcinoma were included in the study. The control group consisted of 13 normal adult volunteer men with similar ages. The swallowing act of the subjects was evaluated by using videofluoroscopy (VFS) and videolaryngostroboscopy (VLS). The movements of the larynx were measured with regard to the hyoid bone, mandible and vertebral spine. The patients with SCL-CHP, except for two who had slight aspiration, had effective and near normal swallowing regarding the measurements of the movements of the hyoid bone. They could tolerate a near-normal oral diet. We have observed that the preventive precautions for aspiration are preserving the superior laryngeal nerves, suturing and positioning the cricoarytenoid unit as anterosuperiorly as possible, early decannulation and early onset of swallowing rehabilitation; the risk factors for aspiration are advanced stage of cancer, postoperative radiation and shortening of bolus transit time. VFS is useful for the patients with postoperative aspiration, because it is the definitive technique for anatomical and physiological evaluation of swallowing. We consider that the parameters of VLS and VFS, such as tongue base-arytenoid contact, presence of bolus splitting, pseudoepiglottis function, maximal opening of the pharyngoeosophageal sphincter and total movement of hyoid bone are important criteria to evaluate swallowing. © Springer-Verlag 2004.
dc.identifier.DOI-ID10.1007/s00405-004-0790-4
dc.identifier.issn09374477
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19859
dc.language.isoEnglish
dc.subjectAged
dc.subjectCricoid Cartilage
dc.subjectDeglutition Disorders
dc.subjectFemale
dc.subjectFluoroscopy
dc.subjectHumans
dc.subjectLaryngectomy
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPostoperative Complications
dc.subjectSeverity of Illness Index
dc.subjectVideotape Recording
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectaspiration
dc.subjectcancer radiotherapy
dc.subjectclinical article
dc.subjectcontrolled study
dc.subjectcricoid
dc.subjectepiglottis
dc.subjectfluoroscopy
dc.subjecthuman
dc.subjecthyoid bone
dc.subjectlaryngectomy
dc.subjectlarynx carcinoma
dc.subjectlarynx surgery
dc.subjectlower esophagus sphincter
dc.subjectmale
dc.subjectmandible
dc.subjectpostoperative period
dc.subjectpriority journal
dc.subjectspine
dc.subjectsquamous cell carcinoma
dc.subjectsurgical technique
dc.subjectswallowing
dc.titleVideofluoroscopic evaluation of the swallowing function after supracricoid laryngectomy
dc.typeArticle

Files

Collections

Scopus Koleksiyonu

We collect and process your personal information for the following purposes: Authentication, Preferences, Acknowledgement and Statistics.
To learn more, please read our privacy policy.

Customize