title: Functional laryngeal surgery - critical determinants of successful rehabilitation.
abstract: This study addresses the functional outcome and rehabilitative process in 30 partial laryngectomies carried out for laryngeal (22) und hypoorpharyngeal (8) cancers at the department of H/N Surgery, The kidwai Memorial Institute of Oncology. Bangalore, India from 1985-1995, Special emphasis is directed towards post-surgical convalescence after various partial laryngeetomy techniques which include 6 vertical laryngectomies (V L / VPL). 17 supraglottic laryngectomies (SG L), and 7 supracricoid laryngectomies with Cricohyoidepexy (CHP). Rehabilitative success was measured with respect to the ease of dccannulation, resumption of normal deglutition and speech analysis - both objectively using standard speech analytical equipment in a speech laboratory and subjectively using the services of blinded judges to score recorded speech of patients. The speech analysis indicate that past SGL speech was the superior most followed by V L and C H P in that order. Aspiration was deemed as minimal and inconsequential after V L/VPL followed by CHP;and SGL, in the order of severity;the extended modifications to resect the arytenoid and / or basE of tongue and / or piriform fossa faring worse than classic standard technique.
authors.affiliation: The Laryngectomee club, The Kidwai Institute of Oncology, Hosur Road, 560 029 Bangalore, India.
authors.forename: A M
authors.initials: AM
authors.lastname: Shenoy
authors.forename: M N
authors.initials: MN
authors.lastname: Harindra
authors.forename: B S
authors.initials: BS
authors.lastname: Premalatha
authors.forename: S
authors.initials: S
authors.lastname: Subbaiah
authors.forename: D S
authors.initials: DS
authors.lastname: Reddy
authors.forename: A V
authors.initials: AV
authors.lastname: Hari Prasad
authors.forename: R
authors.initials: R
authors.lastname: S
keywords: Functional Laryngeal Surgery Rehabilitation