Laryngeal function after supracricoid laryngectomy

Koichiro Saito, Koji Araki, Kaoru Ogawa, Akihiro Shiotani

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objective: The purpose of this study was to assess laryngeal function after supracricoid laryngectomy. Study Design: Case series. Subjects and Methods: Supracricoid laryngectomy (SCL) has been performed in our institution for 24 selected patients with laryngeal cancer since December 2000. Reconstruction was performed through cricohyoidoepiglottopexy for 23 patients and cricohyoidopexy for 1 patient. Seven patients had ipsilateral arytenoid removal, and 15 patients underwent SCL as salvage surgery. A retrospective chart review was performed to assess postoperative speech and swallowing function. Stroboscopy and/or fiberscopy of the neoglottis were used to assess postoperative speech kinetics. Acoustic parameters were measured to evaluate vocal function, and several questionnaires were used to evaluate postoperative quality of life (QOL). Results: In the absence of postoperative complications, stoma closure and normal diet intake were achieved 1 month after surgery. The neoglottis comprises the arytenoid(s), epiglottis, and pyriform sinus mucosa. Several different combinations of vibrating regions were observed among patients during phonation. Although vocalization sounded rough and breathy, vocal communication was possible with little inconvenience. Conclusion: Acceptable functional recovery and tolerable QOL can be achieved after SCL.

Original languageEnglish
Pages (from-to)487-492
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume140
Issue number4
DOIs
Publication statusPublished - 2009 Apr

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Laryngectomy
Stroboscopy
Quality of Life
Pyriform Sinus
Epiglottis
Phonation
Laryngeal Neoplasms
Deglutition
Acoustics
Mucous Membrane
Communication
Diet

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Laryngeal function after supracricoid laryngectomy. / Saito, Koichiro; Araki, Koji; Ogawa, Kaoru; Shiotani, Akihiro.

In: Otolaryngology - Head and Neck Surgery, Vol. 140, No. 4, 04.2009, p. 487-492.

Research output: Contribution to journalArticle

Saito, Koichiro ; Araki, Koji ; Ogawa, Kaoru ; Shiotani, Akihiro. / Laryngeal function after supracricoid laryngectomy. In: Otolaryngology - Head and Neck Surgery. 2009 ; Vol. 140, No. 4. pp. 487-492.
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