FEESST in the rehabilitation of dysphagia after partial laryngectomy

Antonio Schindler, Daniela Ginocchio, Andrea Peri, Giovanni Felisati, Francesco Ottaviani

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: We describe the role of the laryngeal adductor reflex (LAR) and fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) in the rehabilitation of patients with oropharyngeal dysphagia after partial laryngectomy. Methods: Ten patients with a mean age of 64 years (range, 45 to 72 years) were included in the study. Seven patients underwent supraglottic laryngectomy, and 3 had supracricoid laryngectomy. Six patients underwent additional radiotherapy (RT), and 8 had functional neck dissection (ND). FEESST was performed on each patient in order to establish a swallowing rehabilitation program. Results: In 2 patients, not submitted to either ND or RT, the LAR was preserved; in 6 patients, who underwent both procedures, the LAR was delayed or absent. In 2 patients who underwent ND but not RT, the LAR was preserved in 1 case and delayed in the other. The patients with an absent LAR presented severe aspiration, whereas in those with a preserved LAR, no penetration was found. Moderate aspiration was found in the remaining patients. In the patients with a reduced or absent LAR, tactile and chemical sensory stimulation was added to the rehabilitation program. Conclusions: FEESST represents a useful tool in everyday clinical practice for the planning of swallowing rehabilitation after partial laryngectomy.

Original languageEnglish
Pages (from-to)71-76
Number of pages6
JournalAnnals of Otology, Rhinology and Laryngology
Volume119
Issue number2
Publication statusPublished - Feb 2010

Fingerprint

Laryngectomy
Deglutition
Deglutition Disorders
Rehabilitation
Reflex
Neck Dissection
Radiotherapy
Chemical Stimulation
Touch

Keywords

  • Dysphagia
  • Laryngeal adductor reflex
  • Rehabilitation
  • Supracricoid laryngectomy
  • Supraglottic laryngectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Schindler, A., Ginocchio, D., Peri, A., Felisati, G., & Ottaviani, F. (2010). FEESST in the rehabilitation of dysphagia after partial laryngectomy. Annals of Otology, Rhinology and Laryngology, 119(2), 71-76.

FEESST in the rehabilitation of dysphagia after partial laryngectomy. / Schindler, Antonio; Ginocchio, Daniela; Peri, Andrea; Felisati, Giovanni; Ottaviani, Francesco.

In: Annals of Otology, Rhinology and Laryngology, Vol. 119, No. 2, 02.2010, p. 71-76.

Research output: Contribution to journalArticle

Schindler, A, Ginocchio, D, Peri, A, Felisati, G & Ottaviani, F 2010, 'FEESST in the rehabilitation of dysphagia after partial laryngectomy', Annals of Otology, Rhinology and Laryngology, vol. 119, no. 2, pp. 71-76.
Schindler, Antonio ; Ginocchio, Daniela ; Peri, Andrea ; Felisati, Giovanni ; Ottaviani, Francesco. / FEESST in the rehabilitation of dysphagia after partial laryngectomy. In: Annals of Otology, Rhinology and Laryngology. 2010 ; Vol. 119, No. 2. pp. 71-76.
@article{6ded74e98ec24eedb4e0b43e4ded8e0d,
title = "FEESST in the rehabilitation of dysphagia after partial laryngectomy",
abstract = "Objectives: We describe the role of the laryngeal adductor reflex (LAR) and fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) in the rehabilitation of patients with oropharyngeal dysphagia after partial laryngectomy. Methods: Ten patients with a mean age of 64 years (range, 45 to 72 years) were included in the study. Seven patients underwent supraglottic laryngectomy, and 3 had supracricoid laryngectomy. Six patients underwent additional radiotherapy (RT), and 8 had functional neck dissection (ND). FEESST was performed on each patient in order to establish a swallowing rehabilitation program. Results: In 2 patients, not submitted to either ND or RT, the LAR was preserved; in 6 patients, who underwent both procedures, the LAR was delayed or absent. In 2 patients who underwent ND but not RT, the LAR was preserved in 1 case and delayed in the other. The patients with an absent LAR presented severe aspiration, whereas in those with a preserved LAR, no penetration was found. Moderate aspiration was found in the remaining patients. In the patients with a reduced or absent LAR, tactile and chemical sensory stimulation was added to the rehabilitation program. Conclusions: FEESST represents a useful tool in everyday clinical practice for the planning of swallowing rehabilitation after partial laryngectomy.",
keywords = "Dysphagia, Laryngeal adductor reflex, Rehabilitation, Supracricoid laryngectomy, Supraglottic laryngectomy",
author = "Antonio Schindler and Daniela Ginocchio and Andrea Peri and Giovanni Felisati and Francesco Ottaviani",
year = "2010",
month = "2",
language = "English",
volume = "119",
pages = "71--76",
journal = "Annals of Otology, Rhinology and Laryngology",
issn = "0003-4894",
publisher = "Annals Publishing Company",
number = "2",

}

TY - JOUR

T1 - FEESST in the rehabilitation of dysphagia after partial laryngectomy

AU - Schindler, Antonio

AU - Ginocchio, Daniela

AU - Peri, Andrea

AU - Felisati, Giovanni

AU - Ottaviani, Francesco

PY - 2010/2

Y1 - 2010/2

N2 - Objectives: We describe the role of the laryngeal adductor reflex (LAR) and fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) in the rehabilitation of patients with oropharyngeal dysphagia after partial laryngectomy. Methods: Ten patients with a mean age of 64 years (range, 45 to 72 years) were included in the study. Seven patients underwent supraglottic laryngectomy, and 3 had supracricoid laryngectomy. Six patients underwent additional radiotherapy (RT), and 8 had functional neck dissection (ND). FEESST was performed on each patient in order to establish a swallowing rehabilitation program. Results: In 2 patients, not submitted to either ND or RT, the LAR was preserved; in 6 patients, who underwent both procedures, the LAR was delayed or absent. In 2 patients who underwent ND but not RT, the LAR was preserved in 1 case and delayed in the other. The patients with an absent LAR presented severe aspiration, whereas in those with a preserved LAR, no penetration was found. Moderate aspiration was found in the remaining patients. In the patients with a reduced or absent LAR, tactile and chemical sensory stimulation was added to the rehabilitation program. Conclusions: FEESST represents a useful tool in everyday clinical practice for the planning of swallowing rehabilitation after partial laryngectomy.

AB - Objectives: We describe the role of the laryngeal adductor reflex (LAR) and fiberoptic endoscopic evaluation of swallowing with sensory testing (FEESST) in the rehabilitation of patients with oropharyngeal dysphagia after partial laryngectomy. Methods: Ten patients with a mean age of 64 years (range, 45 to 72 years) were included in the study. Seven patients underwent supraglottic laryngectomy, and 3 had supracricoid laryngectomy. Six patients underwent additional radiotherapy (RT), and 8 had functional neck dissection (ND). FEESST was performed on each patient in order to establish a swallowing rehabilitation program. Results: In 2 patients, not submitted to either ND or RT, the LAR was preserved; in 6 patients, who underwent both procedures, the LAR was delayed or absent. In 2 patients who underwent ND but not RT, the LAR was preserved in 1 case and delayed in the other. The patients with an absent LAR presented severe aspiration, whereas in those with a preserved LAR, no penetration was found. Moderate aspiration was found in the remaining patients. In the patients with a reduced or absent LAR, tactile and chemical sensory stimulation was added to the rehabilitation program. Conclusions: FEESST represents a useful tool in everyday clinical practice for the planning of swallowing rehabilitation after partial laryngectomy.

KW - Dysphagia

KW - Laryngeal adductor reflex

KW - Rehabilitation

KW - Supracricoid laryngectomy

KW - Supraglottic laryngectomy

UR - http://www.scopus.com/inward/record.url?scp=77149140800&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77149140800&partnerID=8YFLogxK

M3 - Article

C2 - 20336915

AN - SCOPUS:77149140800

VL - 119

SP - 71

EP - 76

JO - Annals of Otology, Rhinology and Laryngology

JF - Annals of Otology, Rhinology and Laryngology

SN - 0003-4894

IS - 2

ER -