Skip to main content
SpringerLink
Log in

Dysphagia After Laryngeal Surgery

  • Chapter
  • First Online:
Book cover Dysphagia Management in Head and Neck Cancers

  • 1360 Accesses

Abstract

Normal laryngeal function is crucial for the pharyngeal stage of deglutition. It is a rapid, well-coordinated action, comprising the passage of food from the pharynx into the upper esophageal sphincter (UES) and protection of the airway from aspiration [1].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 229.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shaker R, Dodds WJ, Dantas RO, Hogan WJ, Arndorfer RC. Coordination of deglutitive glottic closure with oropharyngeal swallowing. Gastroenterology. 1990;98:1478–84.

    Article  CAS  Google Scholar 

  2. Cook IJ, Dodds WJ, Dantas RO, et al. Opening mechanisms of the human upper esophageal sphincter. Am J Phys. 1989;257:G748–59.

    CAS  Google Scholar 

  3. Shaw DW, Cook IJ, Gabb M, et al. Influence of normal aging on oral-pharyngeal and upper esophageal sphincter function during swallowing. Am J Phys. 1995;268:G389–96.

    Article  CAS  Google Scholar 

  4. Logemann JA, Kahrilas PJ, Cheng J, et al. Closure mechanisms of laryngeal vestibule during swallow. Am J Phys. 1992;262:G338–44.

    CAS  Google Scholar 

  5. Nishino T, Hiraga K. Coordination of swallowing and respiration in unconscious subjects. J Appl Physiol. 1991;70:988–93.

    Article  CAS  Google Scholar 

  6. Weir NF. Theodore Billroth: the first laryngectomy for cancer. J Laryngol Otol. 1973;87:1162–70.

    Article  Google Scholar 

  7. Thompson S. Intrinsic cancer of the larynx: operation by laryngofissure: lasting cure in 80% of cases. BMJ. 1912:355.

    Google Scholar 

  8. Hoffman HT, Porter K, Karnell LH, et al. Laryngeal cancer in the United States: changes in demographics, patterns of care, and survival. Laryngoscope. 2006;116:1–3.

    Article  Google Scholar 

  9. Remacle M, Eckel HE, Antonelli A, et al. Endoscopic cordectomy. A proposal for a classification by the working committee, European laryngological society. Eur Arch Otorhinolaryngol. 2000;257:227–31.

    Article  CAS  Google Scholar 

  10. Ansarin M. Laser surgery for early glottic cancer: impact of margin status on local control and organ preservation. Arch Otolaryngol Head Neck Surg. 2009;135:385–90.

    Article  Google Scholar 

  11. Hamzany Y, Brasnu D, Shpitzer T, Shvero J. Assessment of margins in transoral laser and robotic surgery. Rambam Maimonides Med J. 2014;5(2):e0016.

    Article  Google Scholar 

  12. Ambrosh P, Kron M, Steiner W. Carbone dioxide laser microsurgery for early supraglottic carcinoma. Ann Otol Rhinol Laryngol. 1998;107:680–8.

    Article  Google Scholar 

  13. Brehmer D, Laubert A. Diagnosis of postoperative dysphagia and aspiration. Fiberoptic- endoscopic controlled methylene blue drinking. HNO. 1999;47:479–84.

    Article  CAS  Google Scholar 

  14. Jepsen MC, Gurushanthaiah D, Roy N, Smith ME, Gray SD, Davis RK. Voice, speech, and swallowing outcomes in laser-treated laryngeal cancer. Laryngoscope. 2003;113:923–8.

    Article  Google Scholar 

  15. Bernal-Sprekelsen M, Vilaseca-Gonzalez I, Blanch-Alejandro JL. Predictive values for aspiration after endoscopic laser resections of malignant tumors of the hypopharynx and larynx. Head Neck. 2004;26:103–10.

    Article  Google Scholar 

  16. Guven M, Suog lu Y, Kyak E, et al. Autologous fat injection for voice and swallow improvement after cordectomy. ORL J Otorhinolaryngol Relat Spec. 2006;68:164–9.

    Article  Google Scholar 

  17. Vilaseca-González I, Bernal-Sprekelsen M, Blanch-Alejandro JL, Moragas-Lluis M. Complications in transoral CO2 laser surgery for carcinoma of the larynx and hypopharynx. Head Neck. 2003;25:382–8.

    Article  Google Scholar 

  18. Eckel HE. Endoscopic laser resection of supraglottic carcinoma. Otolaryngol Head Neck Surg. 1997;117:681–7.

    Article  CAS  Google Scholar 

  19. Canis M, Martin A, Ihler F, Wolff HA, Kron M, Matthias C, Steiner W. Results of transoral laser microsurgery for supraglottic carcinoma in 277 patients. Eur Arch Otorhinolaryngol. 2013;270:2315–26.

    Article  Google Scholar 

  20. Scola B, Fernandez-Vega M, Martinez T, Fernandez-Vega S, Ramirez C. Management of cancer of the supraglottis. Otolaryngol Head Neck Surg. 2001;124:195–8.

    Article  CAS  Google Scholar 

  21. Lazarus CL. Management of swallowing disorders in head and neck cancer patients: optimal patterns of care. Semin Speech Lang. 2000;21:293–309.

    Article  CAS  Google Scholar 

  22. Wasserman T, Murry T, Johnson JT, et al. Management of swallowing in supraglottic and extended supraglottic laryngectomy patients. Head Neck. 2001;23:1043–8.

    Article  CAS  Google Scholar 

  23. Oeken J, Hänsch U, Thiel S, Bootz F. Swallowing function after endoscopic resection of supraglottic carcinoma with the carbon dioxide laser. Eur Arch Otorhinolaryngol. 2001;258:250–4.

    Article  CAS  Google Scholar 

  24. Kreuzer SH, Schima W, Schober E, et al. Complications after laryngeal surgery: video-fluoroscopic evaluation of 120 patients. Clin Radiol. 2000;55:775–81.

    Article  CAS  Google Scholar 

  25. Logemann JA. Swallowing disorders after treatment for laryngeal cancer. In: Logemann JA, editor. Evaluation and treatment of swallowing disorders. 2nd ed. Austin (TX): PRO-ED; 1998.

    Google Scholar 

  26. Rademaker AW, Logemann JA, Pauloski BR, et al. Recovery of post-operative swallowing in patients undergoing partial laryngectomy. Head Neck. 1993;15:325–34.

    Article  CAS  Google Scholar 

  27. Jacob R, Zorowka P, Welkoborsky HJ, et al. Long-term functional outcome of Laccourreye hemipharyngectomy-hemilaryngectomy with reference to oncologic outcome. Laryngorhinootologie. 1998;77:93–9.

    Article  CAS  Google Scholar 

  28. Weaver AW, Fleming SM. Partial laryngectomy: analysis of associated swallowing disorders. Am J Surg. 1978;136:486–9.

    Article  CAS  Google Scholar 

  29. Peretti G, Piazza C, Cattaneo A, De Benedetto L, Martin E, Nicolai P. Comparison of functional outcomes after endoscopic versus open-neck supraglottic laryngectomies. Ann Otol Rhinol Laryngol. 2006;115:827–32.

    Article  Google Scholar 

  30. Weinstein GS, O’Malley BW Jr, Snyder W, Hockstein NG. Transoral robotic surgery: supraglottic partial laryngectomy. Ann Otol Rhinol Laryngol. 2007;116:19–23.

    Article  Google Scholar 

  31. Mendelsohn AH, Remacle M, Van Der Vorst S, Bachy V, Lawson G. Outcomes following transoral robotic surgery: supraglottic laryngectomy. Laryngoscope. 2013;123:208–14.

    Article  Google Scholar 

  32. Genden EM, Desai S, Sung CK. Transoral robotic surgery for the management of head and neck cancer: a preliminary experience. Head Neck. 2009;31:283–9.

    Article  Google Scholar 

  33. Logemann JA. The dysphagia diagnostic procedure as a treatment efficacy trial. Clin Commun Disord. 1993;3:1–10.

    CAS  PubMed  Google Scholar 

  34. Ceylan A, Koybasioglu A, Asal K, et al. The effects of pharyngeal neurectomy and crico- pharyngeal myotomy on postoperative deglutition in patients undergoing horizontal supraglottic laryngectomy. Kulak Burun Bogaz Ihtis Derg. 2003;11:170–4.

    PubMed  Google Scholar 

  35. Langmore SE, McCulloch TM, Krisciunas GP, et al. Efficacy of electrical stimulation and exercise for dysphagia in patients with head and neck cancer: a randomized clinical trial. Head Neck. 2016;38(Supple 1):E1221–31.

    Article  Google Scholar 

  36. Tufano R. Organ preservation for laryngeal cancer. Otolaryngol Clin N Am. 2002;35:1067–80.

    Article  Google Scholar 

  37. Lallemant JG, Bonnin P, el-Sioufi I, et al. Cricohyoepiglottopexy: long-term results in 55 patients. J Laryngol Otol. 1999;113:532–7.

    Article  CAS  Google Scholar 

  38. Farrag TY, Koch WM, Cummings CW, et al. Supracricoid laryngectomy outcomes: the Johns Hopkins experience. Laryngoscope. 2007;117:129–32.

    Article  Google Scholar 

  39. Naudo P, Laccourreye O, Weinstein G, Jouffre V, Laccourreye H, Brasnu D. Complications and functional outcome after supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Otolaryngol Head Neck Surg. 1998;118:124–9.

    Article  CAS  Google Scholar 

  40. Schindler A, Favero E, Nudo S, et al. Long-term voice and swallowing modifications after supracricoid laryngectomy: objective, subjective and self-assessment data. Am J Otolaryngol. 2006;27:378–83.

    Article  Google Scholar 

  41. Samlan R, Webster K. Swallowing and speech therapy after definitive treatment for laryngeal cancer. Otolaryngol Clin N Am. 2002;35:1115–33.

    Article  Google Scholar 

  42. Ruiz C, Crevier-Buchman L. Swallowing rehabilitation following organ preservation surgery. In: Weinstein GS, Laccourreye O, Brasnu D, et al., editors. Organ preservation surgery for laryngeal cancer. San Diego (CA): Singular Publishing Group; 2000. p. 165–70.

    Google Scholar 

  43. Ward E, Frisby J, Stephens M. Swallowing outcomes following laryngectomy and pharyngolaryngectomy. Arch Otolaryngol Head Neck Surg. 2002;128:181–6.

    Article  Google Scholar 

  44. Deschler D, Blevins N, Ellison D. Post laryngectomy dysphagia caused by an anterior neopharyngeal diverticulum. Otolaryngol Head Neck Surg. 1996;115:167–9.

    Article  CAS  Google Scholar 

  45. Oursin C, Pitzer G, Fournier P, et al. Anterior neopharyngeal pseudodiverticulum. A possible cause of dysphagia in laryngectomized patients. Clin Imaging. 1999;23:15–8.

    Article  CAS  Google Scholar 

  46. Brasnau E, Perie S, Guily JS. Posttotal laryngectomy Zenker’s diverticulum: endoscopic stapled-assisted esophagodiverticulostomy. Otolaryngol Head Neck Surg. 2003;128:902–3.

    Article  Google Scholar 

  47. Paydarfur J, Birkmeyer N. Complications in head and neck surgery: a meta- analysis of post-laryngectomy pharyngocutaneous fistula. Arch Otolaryngol Head Neck Surg. 2006;132:67–72.

    Article  Google Scholar 

  48. Landera M, Lundy D, Sullivan P. Dysphagia after total laryngectomy. Perspect Swallowing Swallowing Disorders. 2010;19:39–44.

    Article  Google Scholar 

  49. Walther E, Heberhold C. Computerized manometry, and deglutition after pharyngolaryngeal tumor resections. Laryngorhinootogie. 1993;72:67–72.

    Article  CAS  Google Scholar 

  50. Maclean J, Szczesniak M, Cotton S, Perry A. Impact of a laryngectomy and surgical closure technique on swallow biomechanics and dysphagia severity. Otolaryngol Head Neck Surg. 2011;144:21–8.

    Article  Google Scholar 

  51. Garrido CM, Fernandez L, Varela HV, Galvez MN. Study of laryngopharyngeal reflux using pH-metering in immediate postop of laryngectomized patients. Acta Otorrinolaringol Esp. 2007;58:284–9.

    Article  Google Scholar 

  52. Martin-Harris B, Logemann JA, McMahon S, et al. Clinical utility of the modified barium swallow. Dysphagia. 2000;15:136–41.

    Article  CAS  Google Scholar 

  53. Langmore S. Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Curr Opin Otolaryngol Head Neck Surg. 2003;11:485–9.

    Article  Google Scholar 

  54. Veis S, Logemann JA, Colangelo L. Effects of three techniques on maximum posterior movement of the tongue base. Dysphagia. 2000;15:142–5.

    Article  CAS  Google Scholar 

  55. Lazarus C, Logemann JA, Gibbons P. Effects of maneuvers on swallowing function in a dysphagia oral cancer patient. Head Neck. 1993;15:419–24.

    Article  CAS  Google Scholar 

  56. Logemann JA, Rademaker AW, Pauloski LA, et al. Effects of postural change on aspiration in head and neck surgical patients. Otolaryngol Head Neck Surg. 1994;10:222–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India

    Narayana Subramaniam, Anju V. Nikitha & Krishnakumar Thankappan

Authors
  1. Narayana Subramaniam
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anju V. Nikitha
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Krishnakumar Thankappan
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, India

    Krishnakumar Thankappan

  2. Department of Head and Neck Surgery and Oncology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, India

    Subramania Iyer

  3. Department of Laryngology, Kerala Institute of Medical Sciences, Thiruvananthapuram and Dysphagia Unit, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, India

    Jayakumar R Menon

Electronic Supplementary Material

Pseudodiverticulum (pseudovallecula post laryngectomy) on a rigid scopy (MP4 40273 kb)

Pseudodiverticulum (pseudovallecula post laryngectomy) on a flexible scopy (MP4 142250 kb)

Scopy and FEES Case 1 (MP4 137452 kb)

VFS Case 1 (MP4 35788 kb)

Scopy Case 2 (MPG 9872 kb)

VFS Case 2, early post-op (MP4 21,615 kb)

Patient trying super supraglottic swallow, VFS showing aspiration that is reduced with the technique (MP4 66855 kb)

Scopy Case 3 (MP4 60668 kb)

VFS Case 3 (MP4 61514 kb)

FEES Case 4 (MP4 101601 kb)

VFS Case 4 (MP4 60597 kb)

VFS showing gastrografin study, with no leak (MP4 38913 kb)

VFS showing gastrografin study, with leak (MP4 33901 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Subramaniam, N., Nikitha, A.V., Thankappan, K. (2018). Dysphagia After Laryngeal Surgery. In: Thankappan, K., Iyer, S., Menon, J. (eds) Dysphagia Management in Head and Neck Cancers. Springer, Singapore. https://doi.org/10.1007/978-981-10-8282-5_22

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-8282-5_22

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-8281-8

  • Online ISBN: 978-981-10-8282-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation