Survival and functional outcomes after total glossectomy with total laryngectomy: Case series from a high-volume tertiary institution

Burnham, Andre J.; Boyce, Brian; Kaka, Azeem; El‐Deiry, Mark W.; Sebelik, Merry; Baddour, H. Michael; Patel, Mihir R.; Gross, Jennifer; Nathan, Meghana; Waller, J.M.; Schmitt, Nicole C.; Ottenstein, Lauren

doi:10.1016/j.oraloncology.2022.106301

Cited by 6 publications

(1 citation statement)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The DRS results of the included studies spanned a mean range of 10.1–23.9 or a median range of 0–20.0. The mean and median DRS ranges of the Rhinology, General, and Endocrine articles were 11.1–18.5 and 0–10.0 14–16 respectively, and trended lower than the mean and median DRS ranges for the Head and Neck Oncology articles of 10.1–23.9 and 5.0–20.0, respectively 17–26 . A Mann–Whitney U test was not performed due to the heterogeneity of DRS results.…”

Section: Resultsmentioning

confidence: 99%

Patient‐Reported Decisional Regret After Operative Otolaryngology Procedures: A Scoping Review

Liu,

McNeely,

Prisman

et al. 2023

The Laryngoscope

View full text Add to dashboard Cite

ObjectiveTo review the published literature on decisional regret in adult patients undergoing operative otolaryngology procedures. The primary outcome was decisional regret scale (DRS) scores. DRS scores of 0 indicate no regret, 1–25 mild regret, and >25 moderate to strong/severe regret.Data SourcesA comprehensive librarian‐designed strategy was used to search MEDLINE, Embase, and CINAHL from inception to September 2023.Review MethodsInclusion criteria consisted of English‐language studies of adult patients who underwent operative otolaryngology treatments and reported DRS scores. Data was extracted by two independent reviewers. Preferred Reporting Items for Systematic Reviews and Meta‐analyses Extension for Scoping Reviews (PRISMA‐ScR) guidelines were followed. Oxford Centre's Levels of Evidence were used for quality assessment.ResultsIn total, 6306 studies were screened by two independent reviewers; 13 studies were included after full‐text analysis. Subspecialties comprised: Head and neck (10), endocrine (1), general (1), and rhinology (1). The DRS results of the included studies spanned a mean range of 10.1–23.9 or a median range of 0–20.0. There was a trend toward more decisional regret after large head and neck procedures or when patients underwent multiple treatment modalities. Depression, anxiety, and patient‐reported quality of life measures were all correlated with decisional regret. Oxford Centre's Levels of Evidence ranged from 2 to 4.ConclusionThis is the first comprehensive review of decisional regret in otolaryngology. The majority of patients had no or mild (DRS <25) decisional regret after otolaryngology treatments. Future research on pre‐operative counseling and shared decision‐making to further minimize patient decisional regret is warranted.Level of EvidenceN/A Laryngoscope, 2023

show abstract

Section: Resultsmentioning

confidence: 99%

Patient‐Reported Decisional Regret After Operative Otolaryngology Procedures: A Scoping Review

Liu,

McNeely,

Prisman

et al. 2023

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Total tracheoesophageal puncture failure: A scoping review of patient characteristics and etiologies

Azar,

Shires,

Dewan

et al. 2024

Head & Neck

View full text Add to dashboard Cite

ObjectivesTracheoesophageal prosthesis (TEP) is a common method for post‐laryngectomy speech rehabilitation. Despite its common use, some patients ultimately fail TEP rehabilitation. TEP dysfunction negatively affects quality of life due to poor voice quality and need for repeated interventions to restore TEP function. Occasionally, voice rehabilitation with TEP is completely unsuccessful. We performed a scoping review to characterize the main reasons for total TEP failure, in hopes of guiding selection of optimal TEP candidates.Study designScoping review using PubMed of all English language articles from 1990 to 2020 addressing causes of TEP failure.MethodsThis scoping review followed the population, intervention, comparison, outcome and study (PICOS) guidelines. Total TEP failure was defined as complete loss or abandonment of TEP voice or tract. A comprehensive search strategy using PubMed's MeSH subject headings and keywords was created. Causes and rates of failure were reviewed.ResultsAmong 544 peer‐reviewed journal articles reviewed for inclusion. Seventy articles met inclusion criteria, resulting in a total of 4928 TEP voice restoration patients for analysis. 15.2% of these patients had total TEP failure. The most common reasons for failure were dissatisfaction with voice (26.3%), leakage (17.9%), inadequate patient motivation (14.7%), comorbidities (14.2%), stoma problems (11.6%), and abandonment of TEP after dislodgement (10.6%).ConclusionCommon reasons for TEP failure included voice dissatisfaction, leakage, lack of patient motivation, patient comorbidities, and stoma problems. These factors should be considered when selecting candidates for TEP voice restoration.

show abstract

Head & neck surgical oncology: Success in private practice

Shires,

Sebelik

2025

American Journal of Otolaryngology

View full text Add to dashboard Cite

Survival and functional outcomes after total glossectomy with total laryngectomy: Case series from a high-volume tertiary institution

Cited by 6 publications

References 12 publications

Patient‐Reported Decisional Regret After Operative Otolaryngology Procedures: A Scoping Review

Patient‐Reported Decisional Regret After Operative Otolaryngology Procedures: A Scoping Review

Total tracheoesophageal puncture failure: A scoping review of patient characteristics and etiologies

Head & neck surgical oncology: Success in private practice

Contact Info

Product

Resources

About