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[Cricohyoidoepiglottopexy : deglutition in 44 cases]
M Bussi1, E Riontino, L Cardarelli
1Dipartimento di Fisiopatologia Clinica Sez. ORL II, Azienda Ospedaliera S. Giovanni Battista di Torino.
Summary
The cricohyoidoepiglottopexy (CHEP) technique shows good deglutition outcomes but has limitations. Refined surgical and rehabilitation methods improved recovery times in recent patients.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Swallowing Disorders
Context:
- Review of the Majer-Piquet technique for laryngeal reconstruction.
- Analysis of personal experience and literature meta-analysis (approx. 800 cases).
- Focus on deglutition challenges and outcomes post-surgery.
Purpose:
- Evaluate the opportunities and difficulties of the Majer-Piquet technique.
- Assess functional results, particularly deglutition, after cricohyoidoepiglottopexy (CHEP).
- Compare outcomes between early (1989-1992) and later (1993-1998) surgical periods.
Summary:
- 44 patients underwent CHEP between 1989-1998, with data split into two periods.
- The second group (1993-1998) showed earlier rehabilitation, routine videofluorography, and faster recovery (27 vs. 34 days).
- Overall, 93.18% of patients achieved good deglutition, comparable to literature rates (86.4%).
Impact:
- CHEP demonstrates favorable deglutition results when limitations are acknowledged.
- Improved rehabilitation protocols led to quicker functional recovery.
- The technique's limitations suggest a sporadic role in laryngeal surgery.