title: Deglutition after supra-glottic laryngectomy.
abstract: This study of swallowing after a horizontal supra-glottic laryngectomy proposes to analyze the frequency of long-term post-operative complications, their mechanisms of onset, as well as their compensatory mechanisms. It rests on the study of three groups of patients: a retrospective series of 74 charts, a group of 14 patients studied at a distance from the intervention, and a group of 15 patients who have been entered in a prospective study concerning the post-operative care of partial laryngectomies. For these two groups, the swallowing work-up consisted of, besides a clinical evaluation, a video-laryngoscopy and a video-radioscopy. Knowledge of the compensatory possibilities as a function of the specifics of the surgical technique, and their evaluation for each patient with video-radioscopy allows for an adapted care protocol.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Rangueil Hospital, Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Woisard
authors.forename: E
authors.initials: E
authors.lastname: Serrano
authors.forename: E
authors.initials: E
authors.lastname: Yardeni
authors.forename: M
authors.initials: M
authors.lastname: Puech
authors.forename: J J
authors.initials: JJ
authors.lastname: Pessey
mesh_terms: D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation; D004435:Eating; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000209:etiology; D005931:Glottis / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007441:Intubation, Gastrointestinal; D007442:Intubation, Intratracheal / Q000295:instrumentation; D007822:Laryngeal Neoplasms / Q000601:surgery; D007823:Laryngeal Nerves / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods* / Q000534:rehabilitation; D007828:Laryngoscopy; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000503:physiopathology; D011446:Prospective Studies; D012189:Retrospective Studies; D014059:Tongue / Q000503:physiopathology / Q000601:surgery; D014741:Video Recording