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KMID : 0361020000430060644
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 6 p.644 ~ p.648
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Evaluation of the Swallowing after Supracricoid Partial Laryngectomy with Modified Barium Swallow
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1선동일/1Dong Il Sun
1김민식/1양명재/1조승호/2김범수/1Min Sik Kim/1Myung Jae Yang/1Seung Ho Cho/2Bum Soo Kim
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Abstract
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-Abstract-
Background and Objectives : Supracricoid partial laryngectomy is popular due to its satisfactory
oncological and functional outcomes in selected laryngeal cancers. Their postoperative management is mow
well codified, but functional failures still persist. The aims of this study were to analyze the deglutition
modification induced by these intervention and to plan a better rehabilitation program of swallowing.
Materials and Method : For the evaluation of swallowing function, the swallowing analysis was performed
by following the videofluoroscopic evaluation using the modified barium swallow (Logemann, 1983) in 14
laryngeal cancer patients. Results : Asymptomatic aspiration was observed in 4 patients (28.6%), especially
in patients with the extended procedures (p=0.032)and delayed decannulation (p=0.035). Aspiration was
associated with faulty backward tilting of epiglottis and inadequate movement of the base of tongue
(p<0.05). Conclusions : In planning the swallowing rehabilitation program after supracricoid partial
laryngectomy, recuperation of proper epiglottic movement, which is promoted by exercise of backward
tongue movement, is the most important concern.
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KEYWORD
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