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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2017; 21(03): 270-275
DOI: 10.1055/s-0036-1597972
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Late-term Effects of Surgery on Nasal Functions in Patients who Underwent Total Laryngectomy Surgery

Deniz Karaoglu
1   Department of Otolaryngology, Inegol State Hospital, Bursa, Turkey
,
Murat Kocyigit
2   Department of Otolaryngolgy, Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi Ringgold Standard Institution, Istanbul, Turkey
,
Safiye Giran Ortekin
2   Department of Otolaryngolgy, Istanbul Kanuni Sultan Suleyman Egitim ve Arastirma Hastanesi Ringgold Standard Institution, Istanbul, Turkey
,
Mustafa Kemal Adali
3   Department of Otolaryngology, Bir Nefes Private Hospital, Edirne, Luleburgaz, Turkey
› Author Affiliations
Further Information

Publication History

11 September 2016

06 November 2016

Publication Date:
04 January 2017 (online)

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Abstract

Introduction There is a common opinion that losing airway functions in total laryngectomy patients cause changes in nasal physiological rates. Studies conducted to review the subject present gaps, especially in terms of objective measurements.

Objective We evaluated late-term effects of surgery on nasal functions in patients who underwent total laryngectomy surgery more than two years ago.

Methods We included in the study 22 patients who had undergone total laryngectomy, as well as 24 healthy subjects with similar demographic characteristics as the control group. We performed acoustic rhinometry for intranasal volume and cross-sectional area measurements, saccharin test for measurement of nasal mucociliary clearance, and smell identification test for evaluation of olfactory function in the patient and control groups. We compared and statistically analyzed the data obtained from the groups.

Results In our study, although late-term (>2 years) measurements were not statistically significant, we detected more nasal passage patency in the patient group than in the control group. In smell identification test, lower scores were obtained in the patient group. The difference between measurements in both groups was statistically significant.

Conclusion We believe that since the upper respiratory tract is disabled due to tracheostomy in patients with total laryngectomy, atrophy occurs in the late term and, consequently, nasal mucociliary clearance is impaired. We also see diminished olfactory function in total laryngectomy patients.

Keywords

laryngectomy - rhinometry - mucociliary clearance - olfactory
 

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