Abstract
Abstract
Objective
This study evaluated the swallowing and voice function of laryngeal cancer patients after Supracricoid Partial Laryngectomy(SCPL), and its influence on quality of life to provide a reference for the selection of surgical methods for laryngeal cancer patients.
Methods
Twenty-one patients who received SCPL between April 2015 and November 2021 were included. Each patient’s swallowing function and quality of life were assessed through fiberoptic endoscopic examination of swallowing (FEES) and the M.D. Anderson Dysphagia Inventory (MDADI). Fundamental, jitter, shimmer, maximum phonation time (MPT), and voice handicap index-10 (VHI-10) were performed to assess voice function and voice-related quality of life.
Results
The results of the FEES of the 21 patients were as follows: the rates of pharyngeal residue after swallowing solid, semiliquid, and liquid food were 0%, 28.57%, and 38.09%, respectively; the rates of laryngeal infiltration after swallowing solid, semiliquid, and liquid food were 0%, 28.57%, and 4.76%, respectively; and aspiration did not occur in any of the patients. In the evaluation of swallowing quality of life, the mean total MDADI score was 92.6 ± 6.32. The voice function evaluation showed that the mean F0, jitter, shimmer, and MPT values were 156.01 ± 120.87 (HZ), 11.57 ± 6.21 (%), 35.37 ± 14.16 (%) and 7.85 ± 6.08 (s), respectively. The mean total VHI-10 score was 7.14 ± 4.84.
Conclusion
SCPL provides patients with satisfactory swallowing and voice function. The patients in this study were satisfied with their quality of life in terms of swallowing and voice. SCPL can be used as a surgical method to preserve laryngeal function in patients with laryngeal cancer.
Publisher
Springer Science and Business Media LLC
Subject
General Medicine,Otorhinolaryngology
Reference36 articles.
1. Majer EH, Rieder W (1959) Technic of laryngectomy permitting the conservation of respiratory permeability (cricohyoidopexy). Ann Otolaryngol 76(76):677–681
2. Piquet JJ, Desaulty A, Decroix G (1974) Crico-hyoido-epiglotto-pexy. Surgical technic and functional results. Ann Otolaryngol Chir Cervicofac 91(12):681–686
3. Bron L, Brossard E, Monnier P, Pasche P (2000) Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carcinomas. Laryngoscope 110(4):627–634. https://doi.org/10.1097/00005537-200004000-00017
4. Gigot M, Digonnet A, Rodriguez A, Lechien JR (2022) Salvage partial laryngectomy after failed radiotherapy: oncological and functional outcomes. J Clin Med 11(18):5411. https://doi.org/10.3390/jcm11185411
5. Sperry SM, Rassekh CH, Laccourreye O, Weinstein GS (2013) Supracricoid partial laryngectomy for primary and recurrent laryngeal cancer. JAMA Otolaryngol Head Neck Surg 139(11):1226–1235. https://doi.org/10.1001/jamaoto.2013.4990