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[Functional results after reconstructive laryngectomy (author's transl)]

K Schumann, K Laniado, A Majora

    Laryngologie, Rhinologie, Otologie
    |November 1, 1981
    PubMed
    Summary

    The Arslan/Serafini reconstructive laryngectomy technique yielded the best functional outcomes for swallowing and vocal intelligibility. Careful patient selection is crucial for successful reconstructive laryngectomy procedures.

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    Area of Science:

    • Otolaryngology
    • Surgical Oncology
    • Speech-Language Pathology

    Context:

    • Reconstructive laryngectomy aims to restore function after total or partial voice box removal.
    • Various surgical techniques exist, each with potential benefits and drawbacks.
    • Evaluating functional outcomes is essential for determining the efficacy of different surgical approaches.

    Purpose:

    • To compare the functional outcomes of three reconstructive laryngectomy techniques: Arslan/Serafini, Staffieri, and Lange-Beck.
    • To assess swallowing function and vocal intelligibility following each surgical method.
    • To determine the optimal technique based on objective and subjective patient evaluations.

    Summary:

    • Eighteen patients underwent reconstructive laryngectomy between 1970 and 1978 using Arslan/Serafini (5), Staffieri (7), or Lange-Beck (6) methods.
    • Functional results were evaluated using polyphysiography, stroboscopy, gastrografin swallow studies, and questionnaires.
    • The Arslan/Serafini technique demonstrated superior results in swallowing (60% without discomfort) and vocal intelligibility compared to Lange-Beck and Staffieri methods.

    Impact:

    • The Arslan/Serafini technique appears most effective for functional recovery after laryngectomy.
    • The Lange-Beck technique showed moderate results, while the Staffieri technique yielded the poorest outcomes.
    • Findings underscore the need for meticulous patient selection and technique-specific indication for reconstructive laryngectomy.

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