How the Operated Larynx Ages

Overview

Journal Acta Otorhinolaryngol Ital

Specialty Otorhinolaryngology

Date 2014 Apr 9

PMID 24711679

Citations 12

Authors

E Crosetti

P Garofalo

C Bosio

P Consolino

A Petrelli

G Rizzotto

G Succo

Affiliations

Soon will be listed here.

Abstract

After open partial laryngectomy (HOPL), many patients experience deterioration of laryngeal function over time. The aim of this study was to evaluate laryngeal functional outcome at least 10 years after surgery in a cohort of 80 elderly patients. The incidence of aspiration pneumonia (AP) and objective/subjective laryngeal functional assessments were carried out. Eight patients experienced AP including four with repeated episodes. A significant association was observed between AP and severity of dysphagia (p < 0.001). Dysphagia was more pronounced than in a normal population of similar age, but less than would be expected. There was a significant association between the type of intervention and grade of dysphagia/dysphonia; a difference in voice handicap was found, depending on the extent of glottic resection. After HOPL, laryngeal function was impaired, but this did not significantly affect the quality of life. AP is more frequent in the initial post-operative period, and decreases in subsequent years.

Citing Articles

Prevalence and associated factors of aspiration and severe dysphagia in asymptomatic patients in the late period after open partial laryngectomy: a videofluoroscopic evaluation.

Silva de Freitas A, Santos I, Furia C, Dornelas R, Alves E Silva A, Dias F Eur Arch Otorhinolaryngol. 2022; 279(7):3695-3703.

PMID: 34982204 DOI: 10.1007/s00405-021-07231-4.

Swallowing, voice and quality of life of patients submitted to extended supratracheal laryngectomy.

Zica G, Silva de Freitas A, Alves E Silva A, Dias F, Santos I, Freitas E Einstein (Sao Paulo). 2020; 18:eAO5390.

PMID: 32428067 PMC: 7233281. DOI: 10.31744/einstein_journal/2020ao5390.

Supracricoid Laryngectomy: The Function of the Remaining Arytenoid in Voice and Swallowing.

Buzaneli E, Zenari M, Kulcsar M, Dedivitis R, Cernea C, Nemr K Int Arch Otorhinolaryngol. 2018; 22(3):303-312.

PMID: 29983773 PMC: 6033597. DOI: 10.1055/s-0038-1625980.

Relationship between swallowing-related quality of life and fiberoptic endoscopic evaluation of swallowing in patients who underwent open partial horizontal laryngectomy.

Pizzorni N, Schindler A, Fantini M, Bertolin A, Rizzotto G, Ambrogi F Eur Arch Otorhinolaryngol. 2018; 275(4):973-985.

PMID: 29423747 DOI: 10.1007/s00405-018-4888-5.

Open partial horizontal laryngectomies: is it time to adopt a modular form of consent for the intervention?.

Giordano L, Di Santo D, Crosetti E, Bertolin A, Rizzotto G, Succo G Acta Otorhinolaryngol Ital. 2016; 36(5):403-407.

PMID: 27958601 PMC: 5225796. DOI: 10.14639/0392-100X-769.

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