title: [Self-assessment of the effect of dysphagia on the quality of life in patients after partial laryngectomy for cancer initially located in the supraglottic area].
abstract: Dysphagia is frequent in patients after partial laryngectomy for cancer initially located in the supraglottic area. To ensure the best quality of life, establishing how the patient feels after treatment is necessary. Therefore, a self-administered questionnaire was designed to evaluate the dysphagia. 95 patients (75 male and 20 women) who were operated in ENT Department CMUJ between 1998-2004 participated in this study. The MDADI questionnaire in the Polish version was used. The subjective evaluation by the patient of dysphagia is directly related to the size of the tumor and the extent of the partial laryngectomy treatment. Patients, whose tumor was located in supraglottic-glottic area, had subtotal laryngectomy m. Miodoński. Their quality of life was significantly worse due to dysphagia than those with tumors located only in the supraglottic area. Swallowing dysfunctionality was significantly greater after the resection of the hyoid bone. Reconstruction of the base of a tongue by a graft of angiopedunculated submandibular gland diminished the difficulties in swallowing. Moreover, the longer the period after treatment, the higher the quality of life becomes because of the improvement in the swallowing functionality.
authors.affiliation: Katedra i Klinika Otolaryngologii CMUJ, Krakowie. orlkrakow@cm-uj.krakow.pl
authors.forename: Paweł
authors.initials: P
authors.lastname: Strek
authors.forename: Karolina
authors.initials: K
authors.lastname: Hydzik-Sobocińtska
authors.forename: Jacek
authors.initials: J
authors.lastname: Składzień
authors.forename: Maciej
authors.initials: M
authors.lastname: Modrzejewski
authors.forename: Olaf
authors.initials: O
authors.lastname: Zagólski
authors.forename: Joanna
authors.initials: J
authors.lastname: Blaschke
authors.forename: Daniel
authors.initials: D
authors.lastname: Najdzionek
authors.forename: Marian
authors.initials: M
authors.lastname: Kurzyński
authors.forename: Piotr
authors.initials: P
authors.lastname: Muszyński
authors.forename: Jolanta
authors.initials: J
authors.lastname: Gawlik
authors.forename: Magdalena
authors.initials: M
authors.lastname: Dutsch-Wicherek
mesh_terms: D000328:Adult; D003680:Deglutition Disorders / Q000209:etiology*; D005260:Female; D005931:Glottis; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires; D016896:Treatment Outcome