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[Speech reconstruction after laryngectomy by using modified Pearson's operation]
1Department of Otolaryngology, People's Hospital of Liaocheng Prefecture, Shandong Province, Liaocheng 252000.
Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|March 27, 2001
Summary
Modified Pearson's operation successfully restored speech in advanced laryngeal and hypopharyngeal cancer patients. This surgical technique offers significant value for long-term speech function and survival rates.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Speech Rehabilitation
Context:
- Laryngectomy is a surgical procedure involving the removal of the larynx, often due to advanced laryngeal or hypopharyngeal cancer.
- Restoring speech and swallowing function after laryngectomy presents a significant clinical challenge.
Purpose:
- To evaluate the efficacy of the modified Pearson's operation for speech reconstruction in patients with advanced pharyngeal and laryngeal carcinoma.
- To assess the long-term speech and swallowing function, as well as survival rates, following this surgical intervention.
Summary:
- Sixteen patients with advanced laryngeal (T3-T4) or hypopharyngeal (T4) cancer underwent speech reconstruction using the modified Pearson's operation between 1990 and the study period.
- The procedure involved utilizing the remaining laryngopharyngeal mucosa to create a tracheo-pharyngeal speech tube.
- Follow-up ranged from 1 to 5 years, during which speech and swallowing functions were assessed.
Impact:
- The modified Pearson's operation demonstrated satisfactory speech and swallowing function in the majority of patients, with one patient experiencing suboptimal speech outcomes.
- The 3-year and 5-year survival rates were 77.78% and 60.00%, respectively, indicating the procedure's potential for improving long-term survival.
- This technique holds significant value for speech reconstruction in patients with advanced pharyngeal and laryngeal cancers.