Functional laryngeal surgery - critical determinants of successful rehabilitation

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 direct...

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Bibliographic Details
Published in:	Indian Journal of Otolaryngology and Head and Neck Surgery Vol. 52; no. 4; pp. 340 - 346
Main Authors:	Shenoy, A M, Harindra, M N, Premalatha, B S, Subbaiah, S, Reddy, D S, Hari Prasad, A V, S, R
Format:	Journal Article
Language:	English
Published:	India Springer Nature B.V 01-10-2000 Springer India
Subjects:	Speech Functional Laryngeal Surgery Rehabilitation
Online Access:	Get full text
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2231-3796 0019-5421 0973-7707
DOI:	10.1007/BF02991473