Tubed Supraglottic Laryngeal Closure to Treat Chronic Aspiration After Radiotherapy for Head and Neck Cancer
| Autor: | Alexander C. Vlantis, Zenon W C Yeung, Osan Y M Ho, Michael C. F. Tong, Ryan H W Cho, Victor Abdullah, Peter K. M. Ku, Thomas S C Hui, Andrew van Hasselt |
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| Rok vydání: | 2020 |
| Předmět: |
Larynx
Male medicine.medical_specialty medicine.medical_treatment Laryngectomy Pneumonia Aspiration 03 medical and health sciences Laryngoplasty 0302 clinical medicine Swallowing medicine Humans Aged Retrospective Studies Aged 80 and over business.industry Head and neck cancer Middle Aged medicine.disease Dysphagia Surgery Radiation therapy Recurrent aspiration pneumonia medicine.anatomical_structure Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Female medicine.symptom business Deglutition Disorders 030217 neurology & neurosurgery Tracheoesophageal Puncture |
| Zdroj: | The LaryngoscopeBIBLIOGRAPHY. 131(4) |
| ISSN: | 1531-4995 |
| Popis: | OBJECTIVES/HYPOTHESIS To evaluate the long-term swallowing outcomes after surgical treatment for chronic aspiration in patients treated with radiotherapy for head and neck cancer. STUDY DESIGN This was a retrospective study. METHODS The data of patients who underwent radiotherapy for head and neck cancer and who subsequently required a laryngectomy or a tubed supraglottic laryngeal closure (TSLC) for recurrent aspiration pneumonia between 2004 and 2017 were retrieved from a tertiary referral hospital dysphagia clinic. The Functional Oral Intake Scale (FOIS) and the Swallowing Performance and Status Scale (SPSS) were used to assess swallowing function. RESULTS Of the 17 patients who required surgery for chronic aspiration secondary to radiotherapy for head and neck cancer, two underwent a laryngectomy and 15 a TSLC. During a mean follow-up of 77 months, the FOIS and SPSS scores significantly improved at 12, 24, and 36 months after laryngectomy and TSLC relative to the baseline (P |
| Databáze: | OpenAIRE |
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