Long-Term Evaluation After Supracricoid Partial Laryngectomy

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Tarih

2018

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Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: Supracricoid partial laryngectomy is one of the partial laryngectomy proce- dures designed to maintain adequate functionality. We intend to determine the effects of voice, res- piration functions that effect life quality in the long term, and how much they differ based on the chosen surgical procedure after supracricoid partial laryngectomy. Material and Methods: We as- sessed 26 patients with supracricoid partial laryngectomy (SCPL) with cricohyoidopexy, 9 patients with SCPL cricohyoidoepiglottopexy and 10 healthy individuals within our research. All of the pa- tients were evaluated with acoustic and perceptual voice analysis, aspiration, dysphagia, voice hand- icap index, laryngostroboscopy one year after supracricoid partial laryngectomy with cricohyoidopexy or cricohyoidoepiglottopexy. Results: Thirty-five patients (34 male, 1 female) were included in the study group to determine the postoperative, long term functional effects of SCPL. We found that, even though patients suffered from disabilities related with voice, findings in fuctional results in supracricoid partial laryngectomy patients were favorable. Conclusion: As a conclusion, SCPL could be performed in chosen cases of advanced laryngeal malignancies as an alternative sur- gical method, preserving swallowing, speaking and swallowing functions, providing acceptable func- tional results as expressed by patients. When SCPL patients were evaluated postoperatively in the long-term, using acoustic voice analysis, laryngostroboscopic examination and voice handicap index, even though they suffered from voice weaknesses, functional results were generally found to be ac- ceptable.

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Kaynak

Kulak Burun Boğaz ve Baş Boyun Cerrahisi

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Cilt

26

Sayı

2

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