title: Atypical neoglottis after supracricoid laryngectomy: a morphological and functional analysis.
abstract: The objective of this study was to analyze atypical neoglottis after supracricoid subtotal laryngectomy (SSL) from a morphological and functional point-of-view using retrospective case series reviewin a Tertiary university referral center setting. From May 2003 until January 2010, 106 patients underwent SSL (CHEP, CHP, THEP, THP) for laryngeal cancer, in the Otolaryngology Department of the University Hospital of Modena. We performed a retrospective analysis of recorded videos in our database of patients who underwent SSL. Patients with atypical neoglottis were included in the study. Six patients with atypical neoglottis were identified and morphologically evaluated. The functional outcomes were collected and analyzed. Atypical neoglottis may form after SSL, in particular in the case of CHEP. In most cases, these atypical conformations are due to anomalous positioning of the epiglottis, or involvement of the lateral pharyngeal wall in the sphincteric and vibratory function of the neoglottis. Atypical neoglottis formation seems to guarantee adequate functional outcomes in terms of vocal and swallowing performance.
authors.affiliation: Otolaryngology-Head and Neck Surgery Department, University Hospital of Modena, Via del Pozzo 71, 41100 Modena, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Alicandri-Ciufelli
authors.forename: Alessia
authors.initials: A
authors.lastname: Piccinini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bergamini
authors.forename: Marco
authors.initials: M
authors.lastname: Ruberto
authors.forename: Angelo
authors.initials: A
authors.lastname: Ghidini
authors.forename: Daniele
authors.initials: D
authors.lastname: Marchioni
authors.forename: Livio
authors.initials: L
authors.lastname: Presutti
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D003679:Deglutition / Q000502:physiology; D004825:Epiglottis / Q000473:pathology* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D014831:Voice / Q000502:physiology