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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Simonelli, Marilia Ruoppolo, Giovanni de Vincentiis, Marco Di Mario, Marco Calcagno, Paola Vitiello, Cecilia Manciocco, Valentina Pagliuca, Giulio Gallo, Andrea |
| Description | Country affiliation: Italy Author Affiliation: Simonelli M ( The Speech and Swallowing Rehabilitation Service, Santa Lucia Foundation, Rome, Italy.) |
| Abstract | OBJECTIVE: Sporadic episodes of aspiration may occur after supracricoid partial laryngectomy. To prevent risks of pulmonary consequences, a limitation of oral intake of food or a 'nothing by mouth' regimen has been suggested. The objective of this study was to evaluate the long-term swallowing and pulmonary status of patients after supracricoid partial laryngectomy. STUDY DESIGN: Case series with chart review. SETTING: Tertiary University Hospital Policlinico 'Umberto I' and Santa Lucia Foundation, Rome, Italy. SUBJECTS AND METHODS: The swallowing status of a selected group of 116 patients who recovered functional deglutition after supracricoid partial laryngectomy was analyzed during follow-up consultation. Swallowing evaluation included clinical observation, fiberoptic endoscopic evaluation of swallowing, and a videofluoroscopy. When aspiration was confirmed by videofluoroscopy, a high-resolution computed tomography (CT) of the chest was performed in order to assess the radiological manifestations of aspiration. A group of 45 patients with chronic obstructive pulmonary disease and normal deglutition was used as a control. RESULTS: Seventy-nine patients out of 116 showed a fiberoptic endoscopic evaluation of swallowing suggestive for aspiration; only 45 patients had aspiration confirmed by videofluoroscopy. No significant differences in radiological findings were noted in the patients affected by postoperative chronic aspiration compared to the control group. CONCLUSION: Patients with functional deglutition after supracricoid partial laryngectomy show a mild and well-tolerated degree of chronic aspiration and do not require a limitation of oral intake of food. |
| File Format | HTM / HTML |
| ISSN | 01945998 |
| Issue Number | 6 |
| Volume Number | 142 |
| e-ISSN | 10976817 |
| Journal | Otolaryngology -- Head and Neck Surgery |
| Language | English |
| Publisher | SAGE Publications |
| Publisher Date | 2010-06-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Research Support, Non-u.s. Gov't Adverse Effects Laryngeal Neoplasms Humans Middle Aged Pulmonary Disease, Chronic Obstructive Postoperative Period Discipline Otolaryngology Male Aged, 80 And Over Laryngectomy Epidemiology Journal Article Inhalation Carcinoma, Squamous Cell Deglutition Deglutition Disorders Diet Surgery Adult Female Aged Postoperative Complications |
| Content Type | Text |
| Resource Type | Article |
| Subject | Otorhinolaryngology Surgery |
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