[Crico-arytenoid articulation and reconstructive laryngectomy].
The crico-arytenoid articulation is a functional, anatomical entity the preservation or damage of which plays an important role in laryngeal carcinological surgery. In reconstructive laryngectomies, particular biomechanics of the neoglottis were observed at the origin of a specific rehabilitative protocol as well as an evolution over time of this crico-arytenoid unit. Functional readaptation should simultaneously deal with breathing, swallowing and speech. From D1 to D7, breathing work is started. From D6 to D14, swallowing is begun by establishing the sphincter. From D3 to D120, phonation work is dealt with by establishing a sphincter and the vibrator.
Hôpital St Charles, Clinique ORL, Montpellier, France.
B
B
Arnoux-Sindt
D001193:Arytenoid Cartilage / Q000503:physiopathology* / Q000601:surgery; D001696:Biomechanical Phenomena; D002985:Clinical Protocols; D003680:Deglutition Disorders / Q000534:rehabilitation; D006801:Humans; D007825:Laryngectomy / Q000379:methods* / Q000534:rehabilitation; D013071:Speech, Alaryngeal; D014827:Vocal Cords / Q000503:physiopathology* / Q000601:surgery; D014832:Voice Disorders / Q000534:rehabilitation
Articulation crico-aryténoïdienne et laryngectomie reconstructive.