Complications of supraglottic laryngectomy for carcinomas of the supraglottis and the base of the tongue

Abstract

The medical records of patients with either a supraglottic carcinoma (n = 193) or a base of tongue carcinoma (n = 56) who underwent a supraglottic laryngectomy were studied. Because of aspiration total laryngectomy was required in 9.8% and 21.4% of patients with supraglottic and base of tongue carcinomas, respectively, being related to locally advanced stage of disease in the base of tongue and to an age older than 65 years in the case of supraglottic carcinomas. The non-decannulation rates were 23.8% and 50% in supraglottic and base of tongue tumours respectively. Post-operative radiotherapy did not influence the decannulation rate, but advanced local disease and age did. Post-operative mortality in the first month after the operation was 2.6% in supraglottic tumours and 3.6% in base of tongue tumours.

Injection augmentation of arytenoids after partial laryngectomy: case series

“…8 Following partial laryngectomy, the issues of neoglottic competency and aspiration risk are further Following post-operative radiotherapy treatment, the risk of late laryngeal complications has been shown to increase in a radiotherapy dose dependent fashion. [9][10][11] Fortunately, modern conformal techniques such as intensity-modulated radiotherapy can reduce the irradiation dose to the remaining cricoarytenoid joint, facilitating safer treatment when indicated. However, radiotherapy can induce acute sialorrhoea and viscous mucus production during the course of treatment, increasing the need for adequate airway protection.…”

Transoral supraglottik larenjektomiler

“…For this reason nasogastric feeding according to the size of resection as well as anti-reflux treatment, swallowing therapy should be planned. 11,12 Nasogastric feeding tube was used for 3of our patients. These patients have T2 stage epiglottic cancers and nasogastric tubes were left at on average 5 of days.…”

Transoral Laser Surgery for Supraglottic Carcinoma

“…The rate of secondary laryngectomy for persistent aspiration after open supraglottic laryngectomy is in the range of 3.5-12.5%. [28][29][30][31] The incidence of postoperative aspiration and the time needed for swallowing rehabilitation varies with age, general health condition, and with the extent of resection of the base of tongue and arytenoid cartilage. 21,32,33 Due to considerable morbidity and postoperative functional impairment, open supraglottic laryngectomy often does not qualify as a treatment option, particularly in elderly patients with pre-existing pulmonary disease.…”