title: Deglutition after supracricoid laryngectomy: compensatory mechanisms and sequelae.
abstract: This study is based on the videofluorographic exploration of deglutition in 14 patients who were treated by supracricoid laryngectomy. The choice of this population rests on two criteria: a 1-year postoperative delay, and absence of residual deglutition disorders elicited by patient history. Asymptomatic aspiration was seen in 6 cases. In the cricohyoidoepiglottopexies (CHEP), aspiration occurred uniquely in patients who did not recuperate satisfactorily from epiglottic dynamics. The deglutition sequelae are less invalidating relative to the cricohyoidopexies (CHP), with a possible recuperation of the dynamic sequence of the pharyngeal swallow. On the other hand, in the CHP, a complete reorganization of the stepwise sequence of the different neuromuscular events is necessary.
authors.affiliation: Unite de la Voix et de la Deglutition, CHU Rangueil, Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Woisard
authors.forename: M
authors.initials: M
authors.lastname: Puech
authors.forename: E
authors.initials: E
authors.lastname: Yardeni
authors.forename: E
authors.initials: E
authors.lastname: Serrano
authors.forename: J J
authors.initials: JJ
authors.lastname: Pessey
mesh_terms: D000328:Adult; D000368:Aged; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology*; D005931:Glottis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged