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[Crico-arytenoid articulation and reconstructive laryngectomy]
1Hôpital St Charles, Clinique ORL, Montpellier, France.
Revue De Laryngologie - Otologie - Rhinologie
|January 1, 1992
Summary
Preserving the crico-arytenoid articulation is crucial in laryngeal cancer surgery. A new rehabilitative protocol addresses breathing, swallowing, and speech post-reconstruction, focusing on the neoglottis biomechanics.
Area of Science:
- Laryngeal anatomy and biomechanics
- Surgical oncology
- Speech and swallowing rehabilitation
Context:
- The crico-arytenoid articulation is vital in laryngeal function and cancer surgery.
- Reconstructive laryngectomies necessitate understanding neoglottis biomechanics.
- Functional recovery requires simultaneous rehabilitation of breathing, swallowing, and speech.
Purpose:
- To outline a rehabilitative protocol for reconstructive laryngectomies.
- To describe the evolution of the crico-arytenoid unit post-surgery.
- To integrate breathing, swallowing, and speech therapy.
Summary:
- A rehabilitative protocol was developed based on observed neoglottis biomechanics after reconstructive laryngectomies.
- The protocol addresses functional readaptation, including breathing (Days 1-7), swallowing (Days 6-14), and phonation (Days 3-120).
- Emphasis is placed on establishing sphincters and vibrators for functional recovery.
Impact:
- This protocol aims to optimize functional outcomes after laryngeal cancer surgery.
- It provides a structured approach to the complex rehabilitation process.
- Understanding the crico-arytenoid unit's evolution guides therapeutic interventions.