Advertisement

Dysphagia

, Volume 11, Issue 4, pp 265–269 | Cite as

Deglutition after supracricoid laryngectomy: Compensatory mechanisms and sequelae

  • Virginie Woisard
  • Michelle Puech
  • Eli Yardeni
  • Elie Serrano
  • Jean-Jacques Pessey
Article

Abstract

This study is based on the videofluorographic exploration of deglutition in 14 patients who were treated by supracricoid laryngectomy. The choice of this population rests on two criteria: a 1-year postoperative delay, and absence of residual deglutition disorders elicited by patient history. Asymptomatic aspiration was seen in 6 cases. In the cricohyoidoepiglottopexies (CHEP), aspiration occurred uniquely in patients who did not recuperate satisfactorily from epiglottic dynamics. The deglutition sequelae are less invalidating relative to the cricohyoidopexies (CHP), with a possible recuperation of the dynamic sequence of the pharyngeal swallow. On the other hand, in the CHP, a complete reorganization of the stepwise sequence of the different neuromuscular events is necessary.

Key words

Postsurgical cancer Supracricoid laryngectomy Deglutition Deglutition disorders 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Piquet JJ, Desaulty A, Decroix G: La crico-hyoïdo-épiglottopexie. Technique opératoire et résultats fonctionnels. Ann Otolaryngol Chir Cervicofac 91:681–686, 1974Google Scholar
  2. 2.
    Piquet JJ, Chevalier D: Subtotal laryngectomy with cricohyoidoepiglottopexy for the treatment of extended glottic carcinomas. Am J Surg 162:357–361, 1991Google Scholar
  3. 3.
    Labayle J, Bismuth R: La laryngectomie totale avec reconstruction du larynx. Ann Otolaryngol Chir Cervicofac 88:219–228, 1971Google Scholar
  4. 4.
    Laccoureye H, Laccoureye O, Weinstein G, Menard M, Brasnu D: Supracricoid laryngectomy with cricohyoidopexy: a partial laryngeal procedure for selected supraglottic and transglottic carcinoma. Laryngoscope 100:735–741, 1990Google Scholar
  5. 5.
    Danoy MC, Heuillet G, Inedjian JM, Thomassin JM: Laryngectomies reconstructives, que faire en rééducation et pourquoi? Rev Laryngol Otol Rhinol 109:379–388, 1988Google Scholar
  6. 6.
    Arnoux-Sindt B: Articulation crico-aryténoïdienne et laryngectomie reconstructive. Rev. Laryngol Otol Rhinol 113:331–335, 1992Google Scholar
  7. 7.
    Traissac L: Réhabilitation de la voix et de la déglutition après chirurgie partielle ou totale du larynx. Rapport de la Société Française d'ORL, Arnette, Paris, 1992, p 370Google Scholar
  8. 8.
    Alajmo E, Tilli R: Étude radiocinématographique de la déglutition et de la phonation chez les opérés de laryngectomie reconstructive avec crico-hyoïdopexie. J Radiol Electrol Med Nucl 56s2:446–448, 1975Google Scholar
  9. 9.
    Guerrier Y: Traité de technique chirurgicale ORL et cervicofaciale. Tome troisième: pharynx et larynx. Paris: Masson 1977, p 502Google Scholar
  10. 10.
    Laccoureye H, Laccoureye O, Weinstein G, Menard M, Brasnu D: Supracricoid laryngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma. Laryngoscope 100:735–741, 1990Google Scholar
  11. 11.
    Chevalier D, Piquet JJ: Subtotal laryngectomy with cricohyoidopexy for supraglottic carcinoma review of 61 cases. Am J Surg 168:472–473, 1994Google Scholar
  12. 12.
    Guerrier Y: Anatomie du larynx et chirurgie fonctionnelle du cancer du larynx. Les Cahiers d'ORL 19:97–102, 1984Google Scholar
  13. 13.
    Bonnet P, Arnoux B, Guerrier B, Guerrier Y: La chirurgie reconstructive du larynx. À propos de la réadaptation fonctionnelle des malades opérés de crico-hyoïdo-épiglottopexie et de cricohyoïdopexie. Les Cahiers d'ORL 23:465–476, 1988Google Scholar
  14. 14.
    Logemann JA: Manual for videofluorographic study of swallowing, 2nd ed. Austin: Pro-ed, 1986, 1993, p 170Google Scholar
  15. 15.
    Woisard V, Serrano E, Yardeni E, Puech M, Pessey JJ: Deglutition after supra-glottic laryngectomy. J. Otolaryngol 22:278–283, 1993Google Scholar
  16. 16.
    Laccoureve O, Cauchois R, Menard M, Brasnu D, Laccoureye H: Deglutition et laryngectomies partielles supracricoidiennes. Ann Otolaryngol Chir Cervicofac 109:73–75, 1992Google Scholar
  17. 17.
    Remacle M, Hamoir M: Gax-Collagen injection to correct aspiration. Problems after subtotal laryngectomy. Laryngoscope 100:663–668, 1990Google Scholar
  18. 18.
    Devars F, Traissac L, Walter V, Guatterie M, Lozano V: Rehabilitation chirurgicale de la déglutition après chirurgie partielle du larynx. Rev Laryngol Otol Rhinol 113:77–80, 1992Google Scholar
  19. 19.
    Ekberg O, Sigurjonsson SV: Movement of epiglottis during deglutition: a cineradiographic study. Gastrointest Radiol 7:101–107, 1982Google Scholar
  20. 20.
    Ekberg O: Closure of the laryngeal vestibule during deglutition. Acta Otolaryngol (Stockh) 93:123–129, 1982Google Scholar
  21. 21.
    Ekberg O, Nylander G: Cineradiography of the pharyngeal stage of deglutition in 150 individuals without dysphagia. Br J Radiol 55:253–257, 1982Google Scholar
  22. 22.
    Curtis DJ, Cruess DF: Videofluoroscopic identification of two types of swallowing, Radiology 152:305–307, 1984Google Scholar

Copyright information

© Springer-Verlag New York Inc 1996

Authors and Affiliations

  • Virginie Woisard
    • 1
  • Michelle Puech
    • 1
  • Eli Yardeni
    • 1
  • Elie Serrano
    • 1
  • Jean-Jacques Pessey
    • 1
  1. 1.Unite de la Voix et de la Deglutition, Service O.R.L.CHU RangueilToulouseFrance

Personalised recommendations