Atypical neoglottis after supracricoid laryngectomy: a morphological and functional analysis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Matteo Alicandri-Ciufelli Alessia Piccinini Giuseppe Bergamini Marco Ruberto Angelo Ghidini Daniele Marchioni Livio Presutti
- چاپ و سال / کشور: 2011
Description
The objective of this study was to analyze atypical neoglottis after supracricoid subtotal laryngectomy (SSL) from a morphological and functional point-of-view using retrospective case series reviewin a Tertiary university referral center setting. From May 2003 until January 2010, 106 patients underwent SSL (CHEP, CHP, THEP, THP) for laryngeal cancer, in the Otolaryngology Department of the University Hospital of Modena. We performed a retrospective analysis of recorded videos in our database of patients who underwent SSL. Patients with atypical neoglottis were included in the study. Six patients with atypical neoglottis were identified and morphologically evaluated. The functional outcomes were collected and analyzed. Atypical neoglottis may form after SSL, in particular in the case of CHEP. In most cases, these atypical conformations are due to anomalous positioning of the epiglottis, or involvement of the lateral pharyngeal wall in the sphincteric and vibratory function of the neoglottis. Atypical neoglottis formation seems to guarantee adequate functional outcomes in terms of vocal and swallowing performance.
Eur Arch Otorhinolaryngol (2011) 268:1029–1034, Received: 10 August 2010 / Accepted: 15 February 2011 / Published online: 18 March 2011 Springer-Verlag 2011
