Otolaryngology Department, University Hospital of Modena, Via del Pozzo 71, 41100, Modena, Italy.
Head Neck. 2013 Feb;35(2):214-9. doi: 10.1002/hed.22946. Epub 2012 Feb 6.
The purpose of this study was to assess the factors influencing swallowing and phonatory results after partial laryngectomy.
We carried out a medical chart review of patients who underwent partial laryngectomies between June 2003 and November 2010, focusing on functional outcomes.
Thirty-two patients were enrolled. No statistically significant difference was found in the comparison of phonatory outcomes of patients with preservation of both arytenoids; the results of the Yanagihara classification were significantly different (p = .015) in patients with an atypical neoglottis; radiotherapy statistically significantly influenced only the mean fundamental frequency (p = .035). The type of partial laryngectomy does not seem to affect the deglutition results; radiotherapy statistically significantly affected the dysphagia score (DS; p = .03), penetration aspiration (p = .02), and MD Anderson Dysphagia Inventory (MDADI; p = .02).
Horizontal supraglottic laryngectomy and supracricoid partial laryngectomy give the same swallowing results. The presence of both arytenoids does not influence the final outcome compared to patients in whom only 1 arytenoid is preserved. Postoperative radiotherapy only influences the swallowing function.
本研究旨在评估影响部分喉切除术患者吞咽和发音结果的因素。
我们对 2003 年 6 月至 2010 年 11 月期间接受部分喉切除术的患者进行了病历回顾，重点关注功能结果。
共纳入 32 例患者。在保留双侧杓状软骨的患者中，发音结果的比较无统计学差异；在具有非典型新声门的患者中，Yanagihara 分类结果有显著差异（p =.015）；放疗仅对基频的平均值有统计学影响（p =.035）。部分喉切除术的类型似乎不会影响吞咽结果；放疗对吞咽困难评分（DS；p =.03）、渗透误吸（p =.02）和 MD 安德森吞咽障碍量表（MDADI；p =.02）有统计学影响。
水平性声门上喉切除术和环状软骨上部分喉切除术的吞咽结果相同。与仅保留 1 个杓状软骨的患者相比，双侧杓状软骨的存在并不影响最终结果。术后放疗仅影响吞咽功能。
