Relationship between the size of neopharynx after laryngectomy and long-term swallowing function: an assessment by scintigraphy.
OBJECTIVE
To study the relationship between the size of neopharynx after total laryngectomy and long-term swallowing function by means of scintigraphy.


METHODS
The width of pharyngeal remnant was measured during surgery in 11 patients. Their swallowing function was assessed by scintigraphy 8 to 10 years after surgery.


METHODS
The width of pharyngeal remnant at its narrowest point in both relaxed and stretched state was measured during surgery. Postoperative scintigraphy data on swallowing were obtained and computed along 3 lines, (1) transit time through neopharynx, (2) percentage of bolus transferred, and (3) swallowing efficiency. The relationship between the 2 sets of data was analyzed by linear regression analysis.


RESULTS
(1) No statistically significant relationship was found between the size of neopharynx and swallowing function. (2) All patients are clinically asymptomatic.


CONCLUSIONS
The swallowing function is not affected by the size of the neopharynx in 11 patients with pharyngeal remnant width ranging from 3 to 8 cm (stretched).
Hui
Y
Y
Department of Otorhinolaryngology, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong. yhui@hkucc.hku.hk
Ma
K M
KM
Wei
W I
WI
Ho
W K
WK
Yuen
P W
PW
Lam
L K
LK
Chow
C M
CM
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000503:physiopathology; D011877:Radionuclide Imaging / Q000379:methods