Evaluation of the Swallowing after Supracricoid Partial Laryngectomy with Modified Barium Swallow.
- Author:
Dong Il SUN
1
;
Min Sik KIM
;
Myung Jae YANG
;
Seung Ho CHO
;
Bum Soo KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Supracricoid partial laryngectomy;
Modified barium swallow;
Swallowing rehabilitation
- MeSH:
Barium*;
Deglutition*;
Epiglottis;
Humans;
Laryngeal Neoplasms;
Laryngectomy*;
Rehabilitation;
Tongue
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2000;43(6):644-648
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Supracricoid partial laryngectomy is popular due to its satisfactory oncological and functional outcomes in selected laryngeal cancers. Their postoperative management is now well codified, but functional failures still persist. The aims of this study were to analyze the deglutition modification induced by these intervention and to plan a better rehabilitation program of swallowing. MATERIALS AND METHOD: For the evaluation of swallowing function, the swallowing analysis was performed by following the videofluoroscopic evaluation using the modified barium swallow (Logemann, 1983) in 14 laryngeal cancer patients. RESULTS: Asymptomatic aspiration was observed in 4 patients (28.6%), especially in patients with the extended procedures (p=0.032) and delayed decannulation (p=0.035). Aspiration was associated with faulty backward tilting of epiglottis and inadequate movement of the base of tongue (p<0.05). CONCLUSIONS: In planning the swallowing rehabilitation program after supracricoid partial laryngectomy, recuperation of proper epiglottic movement, which is promoted by exercise of backward tongue movement, is the most important concern.
