Abstract
Objective : To compare the postoperative functional outcomes achieved in patients treated with supracricoid partial laryngectomies (SCPL) and fronto-lateral partial laryngectomies (FLPL).Patients : Twelve patients who underwent partial laryngectomies between July 2002 and October 2006 were evaluated. Four patients received SCPL, cricohyoidoepiglottopexy (CHEP) for three and cricohyoidopexy with one. Twelve patients had FLPL.Method : The postoperative vocal and swallowing functions of both groups were evaluated and compared. Acoustic parameters were recorded : fundamental frequency (F0), jitter, shimmer, noise to harmonics ratio (NHR) and maximum phonation time (MPT). Parameters of swallowing function were studied with video fluorography : amount of aspiration, pharyngeal residue, and method of nutrition intake. Result : Better functional results in acoustic parameters were achieved in patients managed with the SCPL procedure than with those managed by the FLPL procedure. All patients were able to swallow; however, all cases that underwent SCPL had experienced severe aspiration just after treatment. Speech therapists applied speech and swallowing therapies resulting in all patients being able to resume oral nutritional intake.
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