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Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources

OBJECTIVE: To describe the correlation between the residues, their anatomical location and the presence of laryngotracheal penetration and aspiration in patients after supracricoid laryngectomy undergoing cricohyoidoepiglotopexy reconstruction. METHODS: This study included 70 patients treated by sup...

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Autores principales: de Freitas, Andressa Silva, Zica, Guilherme Maia, Freitas, Emilson Queiroz, Silva, Ana Catarina Alves e, Dias, Fernando Luiz, Santos, Izabella Costa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909125/
https://www.ncbi.nlm.nih.gov/pubmed/35293434
http://dx.doi.org/10.31744/einstein_journal/2022AO6262
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author de Freitas, Andressa Silva
Zica, Guilherme Maia
Freitas, Emilson Queiroz
Silva, Ana Catarina Alves e
Dias, Fernando Luiz
Santos, Izabella Costa
author_facet de Freitas, Andressa Silva
Zica, Guilherme Maia
Freitas, Emilson Queiroz
Silva, Ana Catarina Alves e
Dias, Fernando Luiz
Santos, Izabella Costa
author_sort de Freitas, Andressa Silva
collection PubMed
description OBJECTIVE: To describe the correlation between the residues, their anatomical location and the presence of laryngotracheal penetration and aspiration in patients after supracricoid laryngectomy undergoing cricohyoidoepiglotopexy reconstruction. METHODS: This study included 70 patients treated by supracricoid laryngectomy with cricohyoidoepiglotopexy reconstruction in a referral national cancer hospital. The patients were submitted to swallowing videofluoroscopy, and the findings were classified by the penetration and aspiration scale. The images were described observing the presence or absence of residues and their anatomical location. RESULTS: The prevalence of penetration in this study was 68.6% and aspiration was 34.3%. An association was found between the presence of residue on the tongue (p=0.005), posterior pharyngeal wall (p=0.013), pyriform recesses (p=0.002), valecula (p=0.061), and laryngeal penetration. The residue in the upper esophageal sphincter (p=0.039) was associated with the occurrence of laryngotracheal aspiration. CONCLUSION: Patients undergoing supracricoid laryngectomy with cricohioidoepiglotopexy reconstruction have food residues in different anatomical regions after swallowing. Penetration was associated with the presence of residues on the base of the tongue and posterior pharyngeal wall. Aspiration was associated with the presence of residues in the upper esophageal sphincter.
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spelling pubmed-89091252022-03-14 Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources de Freitas, Andressa Silva Zica, Guilherme Maia Freitas, Emilson Queiroz Silva, Ana Catarina Alves e Dias, Fernando Luiz Santos, Izabella Costa Einstein (Sao Paulo) Original Article OBJECTIVE: To describe the correlation between the residues, their anatomical location and the presence of laryngotracheal penetration and aspiration in patients after supracricoid laryngectomy undergoing cricohyoidoepiglotopexy reconstruction. METHODS: This study included 70 patients treated by supracricoid laryngectomy with cricohyoidoepiglotopexy reconstruction in a referral national cancer hospital. The patients were submitted to swallowing videofluoroscopy, and the findings were classified by the penetration and aspiration scale. The images were described observing the presence or absence of residues and their anatomical location. RESULTS: The prevalence of penetration in this study was 68.6% and aspiration was 34.3%. An association was found between the presence of residue on the tongue (p=0.005), posterior pharyngeal wall (p=0.013), pyriform recesses (p=0.002), valecula (p=0.061), and laryngeal penetration. The residue in the upper esophageal sphincter (p=0.039) was associated with the occurrence of laryngotracheal aspiration. CONCLUSION: Patients undergoing supracricoid laryngectomy with cricohioidoepiglotopexy reconstruction have food residues in different anatomical regions after swallowing. Penetration was associated with the presence of residues on the base of the tongue and posterior pharyngeal wall. Aspiration was associated with the presence of residues in the upper esophageal sphincter. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2022-03-07 /pmc/articles/PMC8909125/ /pubmed/35293434 http://dx.doi.org/10.31744/einstein_journal/2022AO6262 Text en https://creativecommons.org/licenses/by/4.0/This content is licensed under a Creative Commons Attribution 4.0 International License.
spellingShingle Original Article
de Freitas, Andressa Silva
Zica, Guilherme Maia
Freitas, Emilson Queiroz
Silva, Ana Catarina Alves e
Dias, Fernando Luiz
Santos, Izabella Costa
Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
title Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
title_full Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
title_fullStr Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
title_full_unstemmed Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
title_short Residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
title_sort residue localization and risk for aspiration in partial laryngectomy: the relevance of assertive therapeutic strategies and resources
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909125/
https://www.ncbi.nlm.nih.gov/pubmed/35293434
http://dx.doi.org/10.31744/einstein_journal/2022AO6262
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