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. © 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation.

Swallowing ability and chronic aspiration after supracricoid partial laryngectomy / Marilia, Simonelli; Ruoppolo, Giovanni; DE VINCENTIIS, Marco; Marco Di, Mario; Paola, Calcagno; Vitiello, Cecilia; Valentina, Manciocco; Giulio, Pagliuca; Gallo, Andrea. - In: OTOLARYNGOLOGY-HEAD AND NECK SURGERY. - ISSN 0194-5998. - 142:6(2010), pp. 873-878. [10.1016/j.otohns.2010.01.035]

Swallowing ability and chronic aspiration after supracricoid partial laryngectomy

RUOPPOLO, Giovanni;DE VINCENTIIS, Marco;VITIELLO, Cecilia;GALLO, Andrea
2010

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. © 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation.
2010
01 Pubblicazione su rivista::01a Articolo in rivista
Swallowing ability and chronic aspiration after supracricoid partial laryngectomy / Marilia, Simonelli; Ruoppolo, Giovanni; DE VINCENTIIS, Marco; Marco Di, Mario; Paola, Calcagno; Vitiello, Cecilia; Valentina, Manciocco; Giulio, Pagliuca; Gallo, Andrea. - In: OTOLARYNGOLOGY-HEAD AND NECK SURGERY. - ISSN 0194-5998. - 142:6(2010), pp. 873-878. [10.1016/j.otohns.2010.01.035]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/226111
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