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Deglutição e qualidade de vida após laringectomia e faringolaringectomia total
- Source :
- Brazilian Journal of Otorhinolaryngology v.75 n.4 2009, Brazilian Journal of Otorhinolaryngology, Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF), instacron:ABORL-CCF, Brazilian Journal of Otorhinolaryngology, Volume: 75, Issue: 4, Pages: 556-564, Published: AUG 2009
- Publication Year :
- 2009
- Publisher :
- Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial., 2009.
-
Abstract
- Dysphagia can be a consequence of total laryngectomy even in the absence of symptoms and it could indeed directly or indirectly compromise quality of life. AIM: To evaluate the characteristics of swallowing after total laryngectomy and pharyngolaryngectomy with pharyngeal T closure, correlating them with the Quality of Life in Swallowing Disorders questionnaire. METHODS: A prospective evaluation was performed in 28 patients; fifteen undergoing total laryngectomy and thirteen undergoing total pharyngolaryngectomy. Swallowing was evaluated through videofluoroscopy regarding the preparatory, oral and pharyngeal phases of swallowing, and the quality of life related to swallowing questionnaire was employed to measure quality of life. RESULTS: Anatomical and functional changes were observed under videofluoroscopic evaluation. Dysphagia was diagnosed in 18 patients (64.3%), being mild in 66.6% and moderate/severe in 33.3%. The questionnaire indicated good quality of life in almost all scales. Complaints of dysphagia were associated to the burden (p=0.036) and mental health scale (p=0.031). The questionnaire indicated impact on the mental health scale for patients with severe dysphagia (p=0.012). CONCLUSIONS: High incidence of dysphagia was observed in some quality of life assessments, especially of mild degree. A disfagia pode ser uma das consequências após a laringectomia total mesmo na ausência de sintomas e comprometer direta ou indiretamente a qualidade vida. OBJETIVO: Avaliar as características da deglutição após a laringectomia total e faringolaringectomia com fechamento em T e correlacionar com o questionário Quality of Life in Swallowing Disorders. MATERIAL E MÉTODO: Estudo prospectivo através da avaliação de 28 pacientes, quinze submetidos à laringectomia total e treze à faringolaringectomia. A deglutição foi avaliada através da videofluoroscopia em relação às fases preparatória, oral e faríngea e o questionário de qualidade de vida relacionada à deglutição foi aplicado para mensurar a qualidade de vida. RESULTADOS: Na avaliação videofluoroscópica foram observadas alterações anatômicas e funcionais. A disfagia foi diagnosticada em 18 (64,3%) dos pacientes, sendo 66,6% de grau discreto e 33,3% de grau moderado/severo. O questionário indicou boa qualidade de vida em quase todas as escalas. As queixas de deglutição apresentaram associação com o questionário nas escalas fardo (p=0,036) e saúde mental (p=0,031). O questionário indicou impacto na escala saúde mental para os pacientes com disfagia de grau severo (p=0,012). CONCLUSÃO: Observamos grande incidência de disfagia de grau predominantemente discreto com repercussão em algumas escalas da qualidade de vida.
- Subjects :
- Adult
Male
medicine.medical_specialty
laryngeal neoplasms
medicine.medical_treatment
transtornos de deglutição
Severity of Illness Index
Young Adult
Quality of life (healthcare)
Pharyngectomy
Quality of life
Swallowing
Surveys and Questionnaires
neoplasias laríngeas
Severity of illness
medicine
otorhinolaryngologic diseases
Humans
deglutition
Prospective Studies
Young adult
Prospective cohort study
laryngectomy
Aged
Aged, 80 and over
Pharmacology
business.industry
General surgery
Swallowing Disorders
fungi
food and beverages
deglutition disorders
Middle Aged
Dysphagia
Surgery
Laryngectomy
Otorhinolaryngology
quality of life
qualidade de vida
laringectomia
Physical therapy
Female
deglutição
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Brazilian Journal of Otorhinolaryngology v.75 n.4 2009, Brazilian Journal of Otorhinolaryngology, Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF), instacron:ABORL-CCF, Brazilian Journal of Otorhinolaryngology, Volume: 75, Issue: 4, Pages: 556-564, Published: AUG 2009
- Accession number :
- edsair.doi.dedup.....4ca6a7c88bb5b94c4a4bf173112ba8f4