How the operated larynx ages.
After open partial laryngectomy (HOPL), many patients experience deterioration of laryngeal function over time. The aim of this study was to evaluate laryngeal functional outcome at least 10 years after surgery in a cohort of 80 elderly patients. The incidence of aspiration pneumonia (AP) and objective/subjective laryngeal functional assessments were carried out. Eight patients experienced AP including four with repeated episodes. A significant association was observed between AP and severity of dysphagia (p < 0.001). Dysphagia was more pronounced than in a normal population of similar age, but less than would be expected. There was a significant association between the type of intervention and grade of dysphagia/dysphonia; a difference in voice handicap was found, depending on the extent of glottic resection. After HOPL, laryngeal function was impaired, but this did not significantly affect the quality of life. AP is more frequent in the initial post-operative period, and decreases in subsequent years.
ENT Dept., Martini Hospital, Torino, Italy;
E
E
Crosetti
ENT University Dept., San Luigi Gonzaga Hospital, University of Torino, Italy;
P
P
Garofalo
Radiology Dept., "Martini" Hospital, Torino, Italy;
C
C
Bosio
ENT Dept., Martini Hospital, Torino, Italy;
P
P
Consolino
Epidemiology Unit, Piemonte Region, Torino, Italy;
A
A
Petrelli
ENT Dept., "Vittorio Veneto" Hospital, Treviso, Italy.
G
G
Rizzotto
ENT University Dept., San Luigi Gonzaga Hospital, University of Torino, Italy;
G
G
Succo
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003680:Deglutition Disorders / Q000209:etiology*; D005260:Female; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects* / Q000379:methods; D007830:Larynx / Q000503:physiopathology* / Q000601:surgery*; D008297:Male; D011015:Pneumonia, Aspiration / Q000209:etiology*; D012189:Retrospective Studies; D013997:Time Factors
Aspiration; Elderly; Open partial laryngectomy; Supracricoid partial laryngectomy; Supraglottic partial laryngectomy; Supratracheal partial laryngectomy