title: Dynamic radiographic imaging following total laryngectomy.
abstract: Cinepharyngoesophograms of the pharynx were obtained in 51 patients after total laryngectomy for squamous cell carcinoma. The radiological findings were correlated with operative reports and follow-up findings in 47 patients. Postoperative anatomic changes were well-demonstrated radiographically. A spectrum of radiographic findings were observed and included narrowing at the superior surgical closure site in 52% and pseudodiverticula in 47% of all patients. Cricopharyngeal prominence was observed in 15%, fistulae in 10%, and pharyngeal pouches in 6% of all cases. Increased retropharyngeal soft tissue thickness was not found to be indicative of tumor recurrence. We conclude that cineradiography is a useful method for demonstrating both functional and structural changes following laryngectomy for carcinoma.
authors.affiliation: Russell H. Morgan Department of Radiology and Radiologic Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.
authors.forename: H
authors.initials: H
authors.lastname: Muller-Miny
authors.forename: D W
authors.initials: DW
authors.lastname: Eisele
authors.forename: B
authors.initials: B
authors.lastname: Jones
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002933:Cineradiography; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging; D003680:Deglutition Disorders / Q000000981:diagnostic imaging; D004240:Diverticulum / Q000000981:diagnostic imaging; D004947:Esophagus / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000000981:diagnostic imaging; D010609:Pharyngeal Muscles / Q000000981:diagnostic imaging; D010614:Pharynx / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D015641:Radiography, Interventional