Deglutition after supracricoid laryngectomy: compensatory mechanisms and sequelae

Dysphagia. 1996 Fall;11(4):265-9. doi: 10.1007/BF00265213.

Abstract

This study is based on the videofluorographic exploration of deglutition in 14 patients who were treated by supracricoid laryngectomy. The choice of this population rests on two criteria: a 1-year postoperative delay, and absence of residual deglutition disorders elicited by patient history. Asymptomatic aspiration was seen in 6 cases. In the cricohyoidoepiglottopexies (CHEP), aspiration occurred uniquely in patients who did not recuperate satisfactorily from epiglottic dynamics. The deglutition sequelae are less invalidating relative to the cricohyoidopexies (CHP), with a possible recuperation of the dynamic sequence of the pharyngeal swallow. On the other hand, in the CHP, a complete reorganization of the stepwise sequence of the different neuromuscular events is necessary.

MeSH terms

  • Adult
  • Aged
  • Deglutition Disorders / diagnosis
  • Deglutition Disorders / etiology*
  • Glottis / pathology
  • Glottis / surgery
  • Humans
  • Laryngeal Neoplasms / pathology
  • Laryngeal Neoplasms / surgery
  • Laryngectomy / adverse effects*
  • Male
  • Middle Aged