Swallowing ability and chronic aspiration after supracricoid partial laryngectomy

Marilia Simonelli, Giovanni Ruoppolo, Marco de Vincentiis, Marco Di Mario, Paola Calcagno, Cecilia Vitiello, Valentina Manciocco, Giulio Pagliuca, Andrea Gallo

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Objective: Sporadic episodes of aspiration may occur after supracricoid partial laryngectomy. To prevent risks of pulmonary consequences, a limitation of oral intake of food or a "nothing by mouth" regimen has been suggested. The objective of this study was to evaluate the long-term swallowing and pulmonary status of patients after supracricoid partial laryngectomy. Study Design: Case series with chart review. Setting: Tertiary University Hospital Policlinico "Umberto I" and Santa Lucia Foundation, Rome, Italy. Subjects and Methods: The swallowing status of a selected group of 116 patients who recovered functional deglutition after supracricoid partial laryngectomy was analyzed during follow-up consultation. Swallowing evaluation included clinical observation, fiberoptic endoscopic evaluation of swallowing, and a videofluoroscopy. When aspiration was confirmed by videofluoroscopy, a high-resolution computed tomography (CT) of the chest was performed in order to assess the radiological manifestations of aspiration. A group of 45 patients with chronic obstructive pulmonary disease and normal deglutition was used as a control. Results: Seventy-nine patients out of 116 showed a fiberoptic endoscopic evaluation of swallowing suggestive for aspiration; only 45 patients had aspiration confirmed by videofluoroscopy. No significant differences in radiological findings were noted in the patients affected by postoperative chronic aspiration compared to the control group. Conclusion: Patients with functional deglutition after supracricoid partial laryngectomy show a mild and well-tolerated degree of chronic aspiration and do not require a limitation of oral intake of food.

Original languageEnglish
Pages (from-to)873-878
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume142
Issue number6
DOIs
Publication statusPublished - Jun 2010

Fingerprint

Laryngectomy
Deglutition
Eating
Lung
Tertiary Care Centers
Chronic Obstructive Pulmonary Disease
Italy
Mouth
Thorax
Referral and Consultation
Tomography
Observation
Control Groups

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Simonelli, M., Ruoppolo, G., de Vincentiis, M., Di Mario, M., Calcagno, P., Vitiello, C., ... Gallo, A. (2010). Swallowing ability and chronic aspiration after supracricoid partial laryngectomy. Otolaryngology - Head and Neck Surgery, 142(6), 873-878. https://doi.org/10.1016/j.otohns.2010.01.035

Swallowing ability and chronic aspiration after supracricoid partial laryngectomy. / Simonelli, Marilia; Ruoppolo, Giovanni; de Vincentiis, Marco; Di Mario, Marco; Calcagno, Paola; Vitiello, Cecilia; Manciocco, Valentina; Pagliuca, Giulio; Gallo, Andrea.

In: Otolaryngology - Head and Neck Surgery, Vol. 142, No. 6, 06.2010, p. 873-878.

Research output: Contribution to journalArticle

Simonelli, M, Ruoppolo, G, de Vincentiis, M, Di Mario, M, Calcagno, P, Vitiello, C, Manciocco, V, Pagliuca, G & Gallo, A 2010, 'Swallowing ability and chronic aspiration after supracricoid partial laryngectomy', Otolaryngology - Head and Neck Surgery, vol. 142, no. 6, pp. 873-878. https://doi.org/10.1016/j.otohns.2010.01.035
Simonelli M, Ruoppolo G, de Vincentiis M, Di Mario M, Calcagno P, Vitiello C et al. Swallowing ability and chronic aspiration after supracricoid partial laryngectomy. Otolaryngology - Head and Neck Surgery. 2010 Jun;142(6):873-878. https://doi.org/10.1016/j.otohns.2010.01.035
Simonelli, Marilia ; Ruoppolo, Giovanni ; de Vincentiis, Marco ; Di Mario, Marco ; Calcagno, Paola ; Vitiello, Cecilia ; Manciocco, Valentina ; Pagliuca, Giulio ; Gallo, Andrea. / Swallowing ability and chronic aspiration after supracricoid partial laryngectomy. In: Otolaryngology - Head and Neck Surgery. 2010 ; Vol. 142, No. 6. pp. 873-878.
@article{c4aba63fa10f4f25855d1e6a4cbc724b,
title = "Swallowing ability and chronic aspiration after supracricoid partial laryngectomy",
abstract = "Objective: Sporadic episodes of aspiration may occur after supracricoid partial laryngectomy. To prevent risks of pulmonary consequences, a limitation of oral intake of food or a {"}nothing by mouth{"} regimen has been suggested. The objective of this study was to evaluate the long-term swallowing and pulmonary status of patients after supracricoid partial laryngectomy. Study Design: Case series with chart review. Setting: Tertiary University Hospital Policlinico {"}Umberto I{"} and Santa Lucia Foundation, Rome, Italy. Subjects and Methods: The swallowing status of a selected group of 116 patients who recovered functional deglutition after supracricoid partial laryngectomy was analyzed during follow-up consultation. Swallowing evaluation included clinical observation, fiberoptic endoscopic evaluation of swallowing, and a videofluoroscopy. When aspiration was confirmed by videofluoroscopy, a high-resolution computed tomography (CT) of the chest was performed in order to assess the radiological manifestations of aspiration. A group of 45 patients with chronic obstructive pulmonary disease and normal deglutition was used as a control. Results: Seventy-nine patients out of 116 showed a fiberoptic endoscopic evaluation of swallowing suggestive for aspiration; only 45 patients had aspiration confirmed by videofluoroscopy. No significant differences in radiological findings were noted in the patients affected by postoperative chronic aspiration compared to the control group. Conclusion: Patients with functional deglutition after supracricoid partial laryngectomy show a mild and well-tolerated degree of chronic aspiration and do not require a limitation of oral intake of food.",
author = "Marilia Simonelli and Giovanni Ruoppolo and {de Vincentiis}, Marco and {Di Mario}, Marco and Paola Calcagno and Cecilia Vitiello and Valentina Manciocco and Giulio Pagliuca and Andrea Gallo",
year = "2010",
month = "6",
doi = "10.1016/j.otohns.2010.01.035",
language = "English",
volume = "142",
pages = "873--878",
journal = "Otolaryngology - Head and Neck Surgery",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Swallowing ability and chronic aspiration after supracricoid partial laryngectomy

AU - Simonelli, Marilia

AU - Ruoppolo, Giovanni

AU - de Vincentiis, Marco

AU - Di Mario, Marco

AU - Calcagno, Paola

AU - Vitiello, Cecilia

AU - Manciocco, Valentina

AU - Pagliuca, Giulio

AU - Gallo, Andrea

PY - 2010/6

Y1 - 2010/6

N2 - Objective: Sporadic episodes of aspiration may occur after supracricoid partial laryngectomy. To prevent risks of pulmonary consequences, a limitation of oral intake of food or a "nothing by mouth" regimen has been suggested. The objective of this study was to evaluate the long-term swallowing and pulmonary status of patients after supracricoid partial laryngectomy. Study Design: Case series with chart review. Setting: Tertiary University Hospital Policlinico "Umberto I" and Santa Lucia Foundation, Rome, Italy. Subjects and Methods: The swallowing status of a selected group of 116 patients who recovered functional deglutition after supracricoid partial laryngectomy was analyzed during follow-up consultation. Swallowing evaluation included clinical observation, fiberoptic endoscopic evaluation of swallowing, and a videofluoroscopy. When aspiration was confirmed by videofluoroscopy, a high-resolution computed tomography (CT) of the chest was performed in order to assess the radiological manifestations of aspiration. A group of 45 patients with chronic obstructive pulmonary disease and normal deglutition was used as a control. Results: Seventy-nine patients out of 116 showed a fiberoptic endoscopic evaluation of swallowing suggestive for aspiration; only 45 patients had aspiration confirmed by videofluoroscopy. No significant differences in radiological findings were noted in the patients affected by postoperative chronic aspiration compared to the control group. Conclusion: Patients with functional deglutition after supracricoid partial laryngectomy show a mild and well-tolerated degree of chronic aspiration and do not require a limitation of oral intake of food.

AB - Objective: Sporadic episodes of aspiration may occur after supracricoid partial laryngectomy. To prevent risks of pulmonary consequences, a limitation of oral intake of food or a "nothing by mouth" regimen has been suggested. The objective of this study was to evaluate the long-term swallowing and pulmonary status of patients after supracricoid partial laryngectomy. Study Design: Case series with chart review. Setting: Tertiary University Hospital Policlinico "Umberto I" and Santa Lucia Foundation, Rome, Italy. Subjects and Methods: The swallowing status of a selected group of 116 patients who recovered functional deglutition after supracricoid partial laryngectomy was analyzed during follow-up consultation. Swallowing evaluation included clinical observation, fiberoptic endoscopic evaluation of swallowing, and a videofluoroscopy. When aspiration was confirmed by videofluoroscopy, a high-resolution computed tomography (CT) of the chest was performed in order to assess the radiological manifestations of aspiration. A group of 45 patients with chronic obstructive pulmonary disease and normal deglutition was used as a control. Results: Seventy-nine patients out of 116 showed a fiberoptic endoscopic evaluation of swallowing suggestive for aspiration; only 45 patients had aspiration confirmed by videofluoroscopy. No significant differences in radiological findings were noted in the patients affected by postoperative chronic aspiration compared to the control group. Conclusion: Patients with functional deglutition after supracricoid partial laryngectomy show a mild and well-tolerated degree of chronic aspiration and do not require a limitation of oral intake of food.

UR - http://www.scopus.com/inward/record.url?scp=77952253349&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77952253349&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2010.01.035

DO - 10.1016/j.otohns.2010.01.035

M3 - Article

C2 - 20493361

AN - SCOPUS:77952253349

VL - 142

SP - 873

EP - 878

JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

SN - 0194-5998

IS - 6

ER -