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Updated: May 29, 2026

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
[Etiologic considerations of postlaryngectomy dysphagia]
Ana-Maria Corugă1, V N Costinescu, Gina Stegaru
1Universităţii de Medicină şi Farmacie Gr. T. Popa Iaşi Spitalul Clinic Judeţean de Urgente Sf. Spiridon.
Dysphagia after total laryngectomy is common in rural males, often caused by fistulas or stenosis. Gastroesophageal reflux may contribute to this swallowing difficulty.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Gastroenterology
Context:
- Dysphagia is a severe complication following laryngeal surgery, impacting patient quality of life.
- Potential complications include pneumonia and malnutrition.
- Diagnostic tools include videofluoroscopy, CT scans, and fiberoptic endoscopy.
Purpose:
- To evaluate the incidence and causes of dysphagia in patients who underwent laryngectomy.
- To identify risk factors and patient demographics associated with post-laryngectomy dysphagia.
Summary:
- A retrospective study analyzed 261 patients undergoing laryngectomy, identifying dysphagia in 74 (28.4%).
- Dysphagia predominantly affected males (97.3%) aged 50-60 years, particularly those from rural areas.
- Key causes identified were pharyngocutaneous fistulas, tumor recurrence, cervical infections, and hypopharyngeal stenosis.
Impact:
- The study highlights the prevalence of dysphagia in rural male patients post-total laryngectomy.
- Gastroesophageal reflux is suggested as a potential contributing factor.
- Findings can inform clinical management and targeted interventions for swallowing disorders after laryngectomy.
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