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Related Experiment Videos

Functional outcomes after supracricoid laryngectomy.

M A Zacharek1, R Pasha, R J Meleca

  • 1Department of Otolaryngology Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.

The Laryngoscope
|September 25, 2001
PubMed
Summary

Supracricoid laryngectomy offers similar survival to total laryngectomy for advanced laryngeal cancer. Patients achieve intelligible speech and effective swallowing, avoiding permanent tracheostoma complications.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Oncology

Background:

  • Total laryngectomy and supracricoid laryngectomy yield comparable survival and local control for advanced laryngeal cancer.
  • Functional outcomes after supracricoid laryngectomy require further comprehensive investigation.

Purpose of the Study:

  • To evaluate the functional outcomes, including voice and swallowing, in patients who underwent supracricoid laryngectomy for advanced laryngeal carcinoma.

Main Methods:

  • A cohort study involving 10 patients who underwent supracricoid laryngectomy.
  • Data collection included objective voice laboratory analysis, listener evaluations of voice samples, swallowing assessments, and patient self-reported speech abilities.

Main Results:

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  • Patients exhibited variable voice disturbances but possessed intelligible speech according to blinded judges.
  • Swallowing studies revealed issues like premature spillage and laryngeal penetration, yet patients employed compensatory strategies.
  • Voice and swallowing function correlated with arytenoid mobility, base of tongue action, and residual tissue for neoglottal sphincter competence.

    • Conclusions:

    • Supracricoid laryngectomy successfully avoids permanent tracheostoma complications.
    • Postoperative intelligible voice and effective swallowing were achieved, positioning it as a viable alternative to total laryngectomy for select patients.