Woisard V, Puech M, Yardeni E, Serrano E, Pessey J J
Unite de la Voix et de la Deglutition, CHU Rangueil, Toulouse, France.
Dysphagia. 1996 Fall;11(4):265-9. doi: 10.1007/BF00265213.
This study is based on the videofluorographic exploration of deglutition in 14 patients who were treated by supracricoid laryngectomy. The choice of this population rests on two criteria: a 1-year postoperative delay, and absence of residual deglutition disorders elicited by patient history. Asymptomatic aspiration was seen in 6 cases. In the cricohyoidoepiglottopexies (CHEP), aspiration occurred uniquely in patients who did not recuperate satisfactorily from epiglottic dynamics. The deglutition sequelae are less invalidating relative to the cricohyoidopexies (CHP), with a possible recuperation of the dynamic sequence of the pharyngeal swallow. On the other hand, in the CHP, a complete reorganization of the stepwise sequence of the different neuromuscular events is necessary.
本研究基于对14例行环状软骨上喉切除术患者吞咽功能的电视荧光造影检查。选择这一人群基于两个标准：术后1年的延迟期，以及患者病史中无残留吞咽障碍。6例患者出现无症状误吸。在环舌会厌固定术（CHEP）中，误吸仅发生在会厌动力学未得到满意恢复的患者中。相对于环舌骨固定术（CHP），吞咽后遗症的致残性较小，咽部吞咽的动态序列可能恢复。另一方面，在CHP中，有必要对不同神经肌肉事件的逐步序列进行完全重组。
