Related Experiment Videos
Functional results of sub-total laryngectomy
M De Vincentiis1, A Di Nardo, P Calcagno
1IV Cattedra di Clinica ORL, Università degli Studi La Sapienza, Roma, Italy.
Rivista Europea Per Le Scienze Mediche E Farmacologiche = European Review for Medical and Pharmacological Sciences = Revue Europeenne Pour Les Sciences Medicales Et Pharmacologiques
|November 1, 1995
Summary
Sub-total laryngectomy offers oncological control and functional voice/swallowing. Crico-hyoido-epiglotto-pexi (CHEP) showed better results than crico-hyoido-pexy (CHP), but both ensured good quality of life.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Speech-Language Pathology
Background:
- Sub-total laryngectomy aims for radical oncological control while preserving laryngeal functions.
- The creation of a functional neolarynx is crucial for post-surgical swallowing and phonation.
- Two primary techniques, crico-hyoido-pexy (CHP) and crico-hyoido-epiglotto-pexi (CHEP), are employed.
Purpose of the Study:
- To evaluate the functional outcomes of sub-total laryngectomy.
- To compare the efficacy of crico-hyoido-pexy (CHP) versus crico-hyoido-epiglotto-pexi (CHEP).
- To assess the impact on swallowing and phonatory activities.
Main Methods:
- Functional evaluations were performed on 102 out of 122 patients treated with sub-total laryngectomy.
- Patients were grouped based on the surgical technique: CHP or CHEP.
- Outcomes included swallowing and phonatory function assessments.
Main Results:
- Functional outcomes varied significantly within both surgical groups.
- Crico-hyoido-epiglotto-pexi (CHEP) demonstrated superior performance compared to crico-hyoido-pexy (CHP).
- Despite performance differences, both techniques facilitated good quality of life and social rehabilitation.
Conclusions:
- Sub-total laryngectomy is an effective oncological treatment with functional benefits.
- CHEP may offer advantages over CHP in functional recovery.
- Patient rehabilitation and quality of life are positively impacted by both surgical approaches.