Dynamic radiographic imaging following total laryngectomy

Abstract

Cinepharyngoesophograms of the pharynx were obtained in 51 patients after total laryngectomy for squamous cell carcinoma. The radiological findings were correlated with operative reports and follow-up findings in 47 patients. Postoperative anatomic changes were well-demonstrated radiographically. A spectrum of radiographic findings were observed and included narrowing at the superior surgical closure site in 52% and pseudodiverticula in 47% of all patients. Cricopharyngeal prominence was observed in 15%, fistulae in 10%, and pharyngeal pouches in 6% of all cases. Increased retropharyngeal soft tissue thickness was not found to be indicative of tumor recurrence. We conclude that cineradiography is a useful method for demonstrating both functional and structural changes following laryngectomy for carcinoma.

Cineradiography of the Pharyngoesophageal Segment in Postlaryngectomy Patients

“…23 Fluoroscopy can be used to detect functional or morphological abnormalities within the oral, pharyngeal, and esophageal segments. speech acquisition directly.…”

“…speech acquisition directly. 23 After total laryngectomy, the size and shape of the pharynx have changed so that it is a more straight and tubular structure. 23 Fluoroscopy can be used to detect functional or morphological abnormalities within the oral, pharyngeal, and esophageal segments.…”

Development and preliminary validation of a patient‐reported outcome measure for swallowing after total laryngectomy (SOAL questionnaire)

“…Each MBS study was later rated concurrently, but independently by three experienced clinicians (KK, RG, CT) who were blind to the results of the completed SOAL questionnaires. Each consistency was rated for six features commonly cited in the literature . The six features in the MBS checklist were as follows: multiple swallows per bolus; reduced speed of transit; nasal regurgitation; oral regurgitation; sticking in the pharynx; liquid chaser required. …”

Pharyngocutaneous fistulas after total laryngectomy or pharyngolaryngectomy: Place of video‐fluoroscopic swallowing study

“…VFS is therefore routinely performed in our center after total laryngectomy or total pharyngolaryngectomy to evaluate postoperative complications such as PCF of blind fistula. 23,24 Some studies have analyzed the value of BDT, 5 but few studies have analyzed the value of a VFS in predicting and preventing the appearance of PCF. 1,25 On clinical examination, several signs may suggest the presence of a PCF: hyperthermia, 13 erythema and/or local edema, recurrence of neck pain, and the need to maintain a drainage system 1 week after surgery.…”

“…VFS is therefore routinely performed in our center after total laryngectomy or total pharyngolaryngectomy to evaluate postoperative complications such as PCF of blind fistula 23,24 . Some studies have analyzed the value of BDT, 5 but few studies have analyzed the value of a VFS in predicting and preventing the appearance of PCF 1,25 …”