COMPARISON OF SWALLOWING IN DIFFERENT TYPES OF PARTIAL LARYNGECTOMIES

Abstract

Objective: We designed this study to assess and compare the effects of different partial laryngectomy (PL) techniques on swallowing. Material and Methods: Ten patients had laryngofissure with cordectomy, ten had frontal anterior laryngectomy with epiglottic reconstruction (FAL), ten had frontolateral laryngectomy (FLL), ten had cricohyoidopexy (CHP), ten had cricohyoidoepiglottopexy (CHEP), and ten had supraglotic laryngectomy. Swallowing was assessed with flexible endoscopy. Results: Mild or moderate dysphagia for solid foods was discovered significantly more often in CHP patients compared to FLL and FAL (p<0.05) patients. Dysphagia discoveries for semi-solid and liquid food didn’t significantly differ among PL’s (p>0.05). Compared to other PLs, the penetration-aspiration test with 10 ml of water was distinctly lower in cordectomy and FLL patients (p<0.05). Conclusion: Penetration and aspiration with 10 ml of water was marked lower in cordectomy and FLL patients matched to other PL patients. With studies involving more patients, it will be possible to increase the evidence value of our results.