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Deglutition after supracricoid laryngectomy: Compensatory mechanisms and sequelae

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Abstract

This study is based on the videofluorographic exploration of deglutition in 14 patients who were treated by supracricoid laryngectomy. The choice of this population rests on two criteria: a 1-year postoperative delay, and absence of residual deglutition disorders elicited by patient history. Asymptomatic aspiration was seen in 6 cases. In the cricohyoidoepiglottopexies (CHEP), aspiration occurred uniquely in patients who did not recuperate satisfactorily from epiglottic dynamics. The deglutition sequelae are less invalidating relative to the cricohyoidopexies (CHP), with a possible recuperation of the dynamic sequence of the pharyngeal swallow. On the other hand, in the CHP, a complete reorganization of the stepwise sequence of the different neuromuscular events is necessary.

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Authors and Affiliations

  1. Unite de la Voix et de la Deglutition, Service O.R.L., CHU Rangueil, Toulouse, France

    Virginie Woisard MD, Michelle Puech ORT, Eli Yardeni MD, Elie Serrano MD & Jean-Jacques Pessey MD

Authors
  1. Virginie Woisard MD
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  2. Michelle Puech ORT
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  3. Eli Yardeni MD
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  4. Elie Serrano MD
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  5. Jean-Jacques Pessey MD
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Woisard, V., Puech, M., Yardeni, E. et al. Deglutition after supracricoid laryngectomy: Compensatory mechanisms and sequelae. Dysphagia 11, 265–269 (1996). https://doi.org/10.1007/BF00265213

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