title: Analysis of swallowing function after supracricoid laryngectomy with cricohyoidopexy.
abstract: OBJECTIVE
  To evaluate the swallowing function after supracricoid laryngectomy with cricohyoidopexy, focusing on the effects of arytenoid cartilage resection and radiation therapy.
  
  
  METHODS
  Case series with chart review.
  
  
  METHODS
  Tertiary medical center.
  
  
  METHODS
  Thirty supracricoid laryngectomy-cricohyoidopexy patients, at least 1 year after treatment, were retrospectively analyzed. Fiber-optic endoscopic evaluation of swallowing was performed for each patient. Three blinded judges evaluated the video recordings based on 3 parameters. The M. D. Anderson Dysphagia Inventory was completed by each patient for assessment of disease-specific quality of life.
  
  
  RESULTS
  All patients were decannulated at an average of 23.6 days. Nasogastric feeding tubes were removed at an average of 27.3 days, and all patients could eat orally. Fiber-optic endoscopic evaluation of swallowing showed that patients with total resection of 1 arytenoid had more bolus retention than patients with both arytenoids preserved (P = .008). Compared with patients who did not receive radiotherapy, patients who did receive radiotherapy exhibited increased retention (P = .021) and aspiration (P = .007). The M. D. Anderson Dysphagia Inventory results revealed no differences in quality of life according to the level of arytenoid resection or the administration of radiotherapy.
  
  
  CONCLUSIONS
  The functional evaluation of swallowing after supracricoid laryngectomy-cricohyoidopexy showed satisfactory results. Patients with total resection of 1 arytenoid had significantly higher bolus retention, and those who received radiotherapy had significantly increased retention and aspiration.
authors.affiliation: Ear, Nose, and Throat Clinic, İstanbul Okmeydanı Training and Research Hospital, İstanbul, Turkey. ilhanto@yahoo.com
authors.forename: Ilhan
authors.initials: I
authors.lastname: Topaloglu
authors.forename: Gayem
authors.initials: G
authors.lastname: Köprücü
authors.forename: Muhlis
authors.initials: M
authors.lastname: Bal
mesh_terms: D000704:Analysis of Variance; D001193:Arytenoid Cartilage / Q000473:pathology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D015331:Cohort Studies; D003413:Cricoid Cartilage / Q000473:pathology / Q000601:surgery; D003679:Deglutition / Q000502:physiology / Q000528:radiation effects; D003680:Deglutition Disorders / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000401:mortality / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D012016:Reference Values; D012189:Retrospective Studies; D018570:Risk Assessment; D018709:Statistics, Nonparametric; D015996:Survival Rate; D016896:Treatment Outcome