BACKGROUND: The purpose of this study was to report preliminary long-term outcomes after supratracheal laryngectomy (STL). METHODS: Twenty-two male patients who underwent STL were involved in this study. Swallowing skills, neoglottis motility, and vibrations were videoendoscopically assessed. Aerodynamic measures, spectrogram analysis, aspiration pneumonia, body weight variations, and voice perceptual assessment were performed. Generic, voice-related, and swallowing-related quality of life (QOL) were assessed. RESULTS: Aspiration was found in 10, 2, and 5 patients, respectively, for liquids, semisolids, and solids. Neoglottis motility was generally preserved, whereas vibration was impaired. Aerodynamic measures showed a poor performance. Perceptual assessment revealed highly dysphonic voices. In only 8 patients, a harmonic structure was visible in the spectrograms. Aspiration pneumonia occurred in 2 patients. Preoperative weight was maintained in 16 patients. Generic, voice-related, and swallowing-related QOL revealed satisfied patients. CONCLUSION: After STL, swallowing was sufficiently restored and QOL was satisfactory, whereas the voice was severely impaired even if oral communication was well preserved.
BACKGROUND: The purpose of this study was to report preliminary long-term outcomes after supratracheal laryngectomy (STL). METHODS: Twenty-two male patients who underwent STL were involved in this study. Swallowing skills, neoglottis motility, and vibrations were videoendoscopically assessed. Aerodynamic measures, spectrogram analysis, aspiration pneumonia, body weight variations, and voice perceptual assessment were performed. Generic, voice-related, and swallowing-related quality of life (QOL) were assessed. RESULTS: Aspiration was found in 10, 2, and 5 patients, respectively, for liquids, semisolids, and solids. Neoglottis motility was generally preserved, whereas vibration was impaired. Aerodynamic measures showed a poor performance. Perceptual assessment revealed highly dysphonic voices. In only 8 patients, a harmonic structure was visible in the spectrograms. Aspiration pneumonia occurred in 2 patients. Preoperative weight was maintained in 16 patients. Generic, voice-related, and swallowing-related QOL revealed satisfied patients. CONCLUSION: After STL, swallowing was sufficiently restored and QOL was satisfactory, whereas the voice was severely impaired even if oral communication was well preserved.
Authors: Nicole Pizzorni; Erika Crosetti; Elena Santambrogio; Giada de Cillis; Andy Bertolin; Giuseppe Rizzotto; Marco Fantini; Giovanni Succo; Antonio Schindler Journal: Dysphagia Date: 2019-06-03 Impact factor: 3.438
Authors: A DE Virgilio; M Simonelli; A Greco; A Gallo; A Moretta; C C Wang; S Martellucci; P Calcagno; M DE Vincentiis Journal: Acta Otorhinolaryngol Ital Date: 2015-02 Impact factor: 2.124
Authors: Guilherme Maia Zica; Andressa Silva de Freitas; Ana Catarina Alves E Silva; Fernando Luiz Dias; Izabella Costa Santos; Emilson Queiroz Freitas; Hilton Augusto Koch Journal: Einstein (Sao Paulo) Date: 2020-05-18
Authors: Andrea Colizza; Massimo Ralli; Arianna Di Stadio; Francesca Cambria; Federica Zoccali; Fabrizio Cialente; Diletta Angeletti; Antonio Greco; Marco de Vincentiis Journal: J Clin Med Date: 2022-08-14 Impact factor: 4.964
Authors: Ariana M Garcia; Fernando L Dias; Antônio J Gonçalves; Claudio R Cernea; Emilson Q Freitas; Marcelo B Menezes; Marco Aurélio V Kulcsar Journal: Braz J Otorhinolaryngol Date: 2019-05-23
Authors: G Succo; M Bussi; L Presutti; S Cirillo; E Crosetti; A Bertolin; L Giordano; G Molteni; M Petracchini; A E Sprio; G N Berta; A Fornari; G Rizzotto Journal: Acta Otorhinolaryngol Ital Date: 2015-06 Impact factor: 2.124