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2 results on '"Swallowing scintigraphy"'

1. Evaluation of swallowing function after supracricoid laryngectomy as a primary or salvage procedure.

Author

Bussu, Francesco, Galli, Jacopo, Valenza, Venanzio, D'Alatri, Lucia, Pizzuto, Daniele, Almadori, Giovanni, Giordano, Alessandro, Paludetti, Gaetano, and Pizzuto, Daniele Antonio

Abstract

The primary functional issues following conservative therapy for advanced laryngeal cancer concern swallowing. Here, we evaluated the recovery of swallowing after supracricoid partial laryngectomy (SCL) in patients with primary or recurrent laryngeal cancer. We evaluated the swallowing recovery in 27 SCL patients through oropharyngoesophageal scintigraphy, and we evaluated their quality of life using EORTC questionnaires. Four patients underwent total laryngectomy during follow-up. Patients who retained their larynges were able to feed without nutritional support and without tracheostoma. The only significantly different parameter between the primary and salvage cases was the time elapsed to the removal of nasogastric/PEG tubes, which was longer in salvage cases. SCL has been demonstrated as a valuable option for primary and recurrent laryngeal cancer patients. The present data demonstrate good functional results, particularly in terms of swallowing after previous treatments and in primary settings. The combination of oropharyngoesophageal scintigraphy and questionnaires appears to be an adequate, standardizable approach to assessing swallowing function after SCL. [ABSTRACT FROM AUTHOR]

Published
2015
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2. Evaluation of swallowing function after supracricoid laryngectomy as a primary or salvage procedure

Author

Gaetano Paludetti, Alessandro Giordano, Venanzio Valenza, Daniele Antonio Pizzuto, Francesco Bussu, Lucia D'Alatri, Giovanni Almadori, and Jacopo Galli

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Organ preservation, Salvage therapy, Laryngectomy, Swallowing scintigraphy, Cricoid Cartilage, Speech and Hearing, Swallowing, Cricoid cartilage, otorhinolaryngologic diseases, medicine, Humans, Salvage surgery, Postoperative Period, EORTC QLQ, Laryngeal Neoplasms, Aged, Retrospective Studies, Salvage Therapy, business.industry, Laryngeal SCC, Gastroenterology, Supracricoid Laryngectomy, Retrospective cohort study, Middle Aged, Laryngeal Neoplasm, Deglutition disorders, Surgery, Deglutition, Supracricoid surgery, Treatment Outcome, medicine.anatomical_structure, Otorhinolaryngology, Carcinoma, Squamous Cell, Quality of Life, Female, Settore MED/31 - OTORINOLARINGOIATRIA, business, Follow-Up Studies
Abstract

The primary functional issues following conservative therapy for advanced laryngeal cancer concern swallowing. Here, we evaluated the recovery of swallowing after supracricoid partial laryngectomy (SCL) in patients with primary or recurrent laryngeal cancer. We evaluated the swallowing recovery in 27 SCL patients through oropharyngoesophageal scintigraphy, and we evaluated their quality of life using EORTC questionnaires. Four patients underwent total laryngectomy during follow-up. Patients who retained their larynges were able to feed without nutritional support and without tracheostoma. The only significantly different parameter between the primary and salvage cases was the time elapsed to the removal of nasogastric/PEG tubes, which was longer in salvage cases. SCL has been demonstrated as a valuable option for primary and recurrent laryngeal cancer patients. The present data demonstrate good functional results, particularly in terms of swallowing after previous treatments and in primary settings. The combination of oropharyngoesophageal scintigraphy and questionnaires appears to be an adequate, standardizable approach to assessing swallowing function after SCL.

Published
2015

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