Deglutition after supracricoid laryngectomy: Compensatory mechanisms and sequelae
Autor: | E. Yardeni, Jean-Jacques Pessey, Michelle Puech, Virginie Woisard, Elie Serrano |
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Rok vydání: | 1996 |
Předmět: |
Adult
Male Glottis medicine.medical_specialty Population Laryngectomy Asymptomatic Speech and Hearing Swallowing medicine Humans Medical history In patient education Laryngeal Neoplasms Aged education.field_of_study business.industry Gastroenterology Supracricoid Laryngectomy Middle Aged Surgery Otorhinolaryngology medicine.symptom Deglutition Disorders business |
Zdroj: | Dysphagia. 11:265-269 |
ISSN: | 1432-0460 0179-051X |
DOI: | 10.1007/bf00265213 |
Popis: | 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. |
Databáze: | OpenAIRE |
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