Cavalot Andrea L, Ricci Eugenia, Schindler Antonio, Roggero Nicolò, Albera Roberto, Utari Cristina, Cortesina Giorgio
Dipartimento di Fisiopatologia Clinica, sezione ORL II, Università degli Studi di Torino, Turin, Italy.
Otolaryngol Head Neck Surg. 2009 Jun;140(6):822-5. doi: 10.1016/j.otohns.2009.01.038. Epub 2009 Apr 5.
To examine the utility of swallowing therapy (ST) before and after surgery in patients undergoing subtotal laryngectomy.
From 1990 to 2000, 43 patients underwent subtotal laryngectomy. Prior to 1997 patients received ST only after surgery, while from 1997 on, patients scheduled for subtotal laryngectomy also received some sessions of ST before surgery.
The average time to swallowing resumption was 27.76 +/- 5.206 days for the 25 patients who received ST only after surgery, and 16.38 +/- 2.953 for those who underwent ST both before and after surgery.
The difference between the two groups was significant on Student's t test (P < 0.001) and shows that preoperative rehabilitation is of significant help in the early resumption of normal deglutition.
The authors find that the duration of nasogastric tube feeding is reduced in subjects who underwent ST.
探讨喉次全切除术患者手术前后吞咽治疗（ST）的效用。
1990年至2000年，43例患者接受了喉次全切除术。1997年之前，患者仅在术后接受吞咽治疗，而从1997年起，计划接受喉次全切除术的患者在术前也接受了一些疗程的吞咽治疗。
仅在术后接受吞咽治疗的25例患者恢复吞咽的平均时间为27.76 +/- 5.206天，而术前和术后均接受吞咽治疗的患者为16.38 +/- 2.953天。
两组之间的差异在学生t检验中具有显著性（P < 0.001），表明术前康复对早期恢复正常吞咽有显著帮助。
作者发现接受吞咽治疗的受试者鼻饲管喂养时间缩短。
