Surgical rehabilitation of dysphagia after partial laryngectomy.
Surgical rehabilitation of dysphagia in patients who have undergone partial laryngectomy is aimed at improving the sphincteric action of the larynx, the anatomy and physiology of which are impaired. The interventions indicated for this purpose can be performed either with an external or endoscopic approach. The Authors present early results of their experience employing injection laryngoplasty with autologous fat, bovine collagen (Zyplast, McGhan Medical Corporation, Fremont, CA, USA) and PDMS (Vox Implants, Uroplasty Inc, Minnetonka, MN, USA), performed by means of fiberendoscopy, under local anaesthesia, and microlaryngoscopy, under general anaesthesia.
Ricci Maccarini
A
A
Department of Surgical Specialities, Otorhinolaryngology Unit, Bufalini Hospital, Cesena, Italy.
Stacchini
M
M
Salsi
D
D
Padovani
D
D
Pieri
F
F
Casolino
D
D
D000328:Adult; D000368:Aged; D003094:Collagen / Q000008:administration & dosage; D003680:Deglutition Disorders / Q000209:etiology / Q000534:rehabilitation* / Q000601:surgery*; D004129:Dimethylpolysiloxanes / Q000008:administration & dosage; D004867:Equipment Design; D006801:Humans; D007267:Injections / Q000295:instrumentation; D007825:Laryngectomy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009339:Needles; D019736:Prostheses and Implants
D004129:Dimethylpolysiloxanes; C048470:glutaraldehyde-cross-linked collagen; D003094:Collagen