Relationship between radiotherapy and gastroesophageal reflux disease in causing tracheoesophageal voice rehabilitation failure
| Autor: | Marco Bonfiglio, Rita Chiaramonte, Salvatore Cocuzza, Agostino Serra |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Voice Quality Fistula medicine.medical_treatment Laryngectomy Punctures Prosthesis Implantation Speech and Hearing Alaryngeal speech Risk Factors Medicine Humans Treatment Failure Laryngeal prosthesis Laryngeal Neoplasms Aged Retrospective Studies Rehabilitation Voice Disorders business.industry Reflux Retrospective cohort study Proton Pump Inhibitors Middle Aged LPN and LVN medicine.disease Voice prosthesis Surgery Radiation therapy Speech Alaryngeal Voice Training Otorhinolaryngology Gastroesophageal Reflux Female Radiotherapy Adjuvant business Larynx Artificial |
| Zdroj: | Journal of voice : official journal of the Voice Foundation. 28(2) |
| ISSN: | 1873-4588 |
| Popis: | Summary Objective The objective was to analyze the association of radiotherapy with gastroesophageal reflux as determinant of fistula related pathology, in voice prosthesis patients. Study Design Retrospective study. Methods Sixty-one laryngectomy patients were enrolled between 2005 and 2012. All patients underwent phonatory rehabilitation with voice prosthesis, along with evidence of gastroesophageal reflux disease, for which proton pump inhibitors (PPIs) were prescribed. We analyzed the occurrence of fistula-related problems among patients who received postoperative radiotherapy and those patients who did not. Results We observed a higher rate of failure of speech rehabilitation in laryngectomy patients with gastroesphageal reflux: this occurred when they had a history of postoperative radiotherapy (45%) compared with patients who did not (17%) ( P Conclusion Our results seem to confirm the importance of postoperative radiotherapy with gastroesophageal reflux for the determinism of fistula-related problems. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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