Dysphagia after laryngeal surgery: Radiologic assessment

Balfe, Dennis M.

doi:10.1007/bf02407390

Cited by 12 publications

(20 citation statements)

References 33 publications

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“…The videoradiographic study of the deglutition provides very precise information on compensatory swallowing movements and the aspiration mechanisms 15,16 : impairment of the compensatory movements is more easily identified, eg, insufficient laryngeal upward movement, insufficient posterior backward movement of the tongue base, pooling in the pyriform sinuses, and cricopharyngeal muscle hypertonia; aspiration is diagnosed as primary when the bolus, propelled by the backward movement of the tongue base, falls directly into the larynx at the beginning of the pharyngeal stage of deglutition; aspiration is diagnosed as secondary when the bolus overflows into the larynx after being pooled in the pyriform sinuses. Some authors consider videoradiography to be the best investigation for assessing swallowing.…”

Section: Numerous Authorsmentioning

confidence: 99%

Improving the functional outcome of Tucker's reconstructive laryngectomy

Lawson¹,

Jamart²,

Remacle³

2001

Head & Neck

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Section: Numerous Authorsmentioning

confidence: 99%

Improving the functional outcome of Tucker's reconstructive laryngectomy

Lawson¹,

Jamart²,

Remacle³

2001

Head & Neck

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“…The true prevalence of dysphagia after a total laryngectomy is unknown, with marked variability in reported studies ranging from 17 to 70% [1,6]. This wide variation may, in part, be due to differences in the definition of dysphagia used.…”

mentioning

confidence: 99%

“…There is a permanent separation of the trachea from the pharynx/esophagus and the larynx itself is entirely removed [1]. Following this, there is major disruption to the anatomy and physiology of the pharynx and there are marked changes to speech, swallowing, and respiratory function [2].…”

mentioning

confidence: 99%

“…If the suprahyoid muscles have been reattached, then their contraction will aid in the dilatation of the cricopharyngeus and thyropharyngeus muscles when a (fluid or solid) bolus enters the esophagus [4]. Following a laryngectomy, there is a reduction in the amplitude and duration of pharyngeal peristalsis and a decrease in pharyngeal sensation as a result of the sectioning of the superior laryngeal nerve and the recurrent laryngeal nerve [1,4].…”

mentioning

confidence: 99%

“…This wide variation may, in part, be due to differences in the definition of dysphagia used. Balfe [1] estimated that approximately 17% of laryngectomees would develop a dysphagia, which he characterised as ''material remaining in the pharynx following a swallow.'' This, he believed, was secondary to reduced pharyngeal motility and mechanical impediment, which he determined using instrumental assessment.…”

mentioning

confidence: 99%

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Post-Laryngectomy: It’s Hard to Swallow

2008

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The prevalence of swallowing disorders (dysphagia) following a total laryngectomy remains unknown, with estimates varying from 17 to 70%. The primary aim of this study was to investigate the prevalence and nature of self-reported dysphagia following a total laryngectomy across New South Wales (NSW), Australia. A secondary aim was to document the effect of dysphagia on the respondents' social activities and participation. A questionnaire battery, with a prepaid envelope for return, was sent to all laryngectomy members (n = 197) of the Laryngectomy Association of NSW. One hundred twenty questionnaires (61%) were completed and returned. Dysphagia was self-reported by 71.8% of the cohort. In this cohort with dysphagia, the most commonly reported features included an increased time required to swallow, a need for fluids to wash down a bolus, and avoidance of certain food consistencies. Severe distress was reportedly associated with dysphagia for 39.7% of these respondents and prevented 57% of them from participating in social activities, such as eating at friends' houses and/or at restaurants. The prevalence of self-reported dysphagia following total laryngectomy in this Australian study was 72%. Dysphagia can result in laryngectomies making significant changes to their diets and it has a marked impact on their activities and social participation.

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Dynamic radiographic imaging following total laryngectomy

1993

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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.

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Dysphagia after laryngeal surgery: Radiologic assessment

Cited by 12 publications

References 33 publications

Improving the functional outcome of Tucker's reconstructive laryngectomy

Improving the functional outcome of Tucker's reconstructive laryngectomy

Post-Laryngectomy: It’s Hard to Swallow

Dynamic radiographic imaging following total laryngectomy

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