Swallowing and Aspiration: How Much Is Affected by the Number of Arytenoid Cartilages Remaining After Supracricoid Partial Laryngectomy?

Caner Kılıç; Ümit Tunçel; Metin Kaya; Ela Cömert; Samet Özlügedik

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자료유형: 학술저널

저자정보: Caner Kılıç Ümit Tunçel Metin Kaya Ela Cömert Samet Özlügedik

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제10권 제4호

발행연도: 2017.1

수록면: 344 - 348 (5page)

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Objectives. The aim of this study was to compare the effect of the presence of one or two arytenoids on early/late period swallowing-aspiration functions. Methods. Supracricoid partial laryngectomy (SCPL) with the diagnosis of laryngeal cancer between 2012 and 2014 were retrospectively evaluated. The patients were categorized into two groups as follows: group I, patients who underwent SCPL with one arytenoid cartilage and group II, patients who underwent SCPL with two arytenoid cartilages. The time of decannulation and oral feeding onset, and swallowing-aspiration functions were evaluated and compared in the early nutritional period, first, and third months. Results. There was no significant correlation between decannulation time and swallowing-aspiration. The aspiration rates in group I and group II were similar and there was no significant difference in oral feeding onset and aspiration grades in the first and third months between both groups. Conclusion. We found similar oncological and functional outcomes in SCPL which protected one or two arytenoid cartilages. Therefore we suggest to be performed one arytenoid cartilage SCPL in selected patients who was advance stage and tumor volume over with larynx cancer.

#Arytenoid #Aspiration #Partial Laryngectomy #Swallowing

참고문헌 (21)

참고문헌 신청

Alajmo E / 1985 / Conservation surgery for cancer of the larynx in the elderly / Laryngoscope 95 (2) : 203 ~ 205

Aygenc E / 2002 / Functional outcomes after supracricoid partial laryngectomy / Kulak Burun Bogaz Ihtis Derg 9 (1) : 54 ~ 58

Benito J / 2011 / Aspiration after supracricoid partial laryngectomy: incidence, risk factors, management, and outcomes / Head Neck 33 (5) : 679 ~ 685

Bron L / 2000 / Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carcinomas / Laryngoscope 110 (4) : 627 ~ 63

Castro A / 2012 / Laryngeal function preservation following supracricoid partial laryngectomy / Head Neck 34 (2) : 162 ~ 167

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