Pharyngolaryngeal closure after supraglottic partial laryngectomy.
- Author:
Eun Chang CHOI
1
;
Hong Shik CHOI
;
Young Ho KIM
;
Se Heon KIM
;
Yoon Woo KOH
;
Hun Yi PARK
Author Information
1. Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, korea. eunchangmd@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Supraglottic partial laryngectomy;
Pharyngolaryngeal closure;
Fistula;
Aspiration pneumonia;
Oral feeding
- MeSH:
Cartilage;
Enteral Nutrition;
Fistula;
Gastrostomy;
Humans;
Laryngectomy*;
Pneumonia, Aspiration;
Postoperative Complications;
Retrospective Studies;
Sutures;
Thyroid Cartilage;
Thyroid Gland;
Tongue
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(3):312-317
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES:Although the various methods of pharyngolaryngeal closure after supraglottic partial laryngectomy(SPL) have been reported, the difference of postoperative function and complications has not been adequately analyzed. Therefore, We investigated the relationship between different pharyngolaryngeal closure methods and postoperative function and complications. PATIENTS AND METHODS: According to the methods of pharyngolaryngeal closure, postoperative complications, decannulation day and postoperative day when to start oral feeding were retrospectively investigated on 22 patients who underwent SPL. We divided the patients into two groups according to the methods of pharyngolaryngeal closure. In cartilage group(13 cases), the closure of pharyngolaryngeal defect was done with direct suture between the thyroid cartilage and base of the tongue. In perichondrial group(9 cases), the closure was done between preserved thyroid perichondrium and base of the tongue. RESULTS: There was no case requiring either a gastrostomy or a persistent tube feeding in our series. Fistula occurred more often in perichodrial group(3 cases) than cartilage group(0 case). In one case of perichondrial group, total laryngectomy was performed because of a fistula. Also, aspiration pneumonia occurred more often in perichodrial group(2 cases) than cartilage group(0 case). Decannulation could be performed relatively earlier in cartilage group than in perichondrial group. Also, oral feeding could be performed relatively earlier in cartilage group than in perichondrial group. CONCLUSION: Direct approximation between cut margin of the thyroid cartilage and base of tongue was safe, time-saving and reliable method of pharyngolaryngeal closure after SPL.
