Document Detail


Manometric evaluation of disorders in oral and pharyngeal phases of swallowing in patients after partial laryngectomy for localized supraglottic cancer
MedLine Citation:
PMID:  11265381     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Manometric examinations of swallowing were conducted on 81 patients after partial laryngectomy and on 35 subjects being a control group. Resection of piriform recess, a part of the base of the tongue, the hyoid bone or its part is the factor that causes intensified difficulty during swallowing and increase in the frequency of the occurrence of aspiration. The results of manometric examinations indicate that the shape and mobility of the tongue and the mobility of remaining after the surgery parts of the larynx have the greatest influence on the efficient swallowing in patients who have undergone partial laryngectomy due to cancer initially located in the supraglottic area. The larynx mobility is closely related to the remaining of the hyoid bone. The importance of remaining the possibly non-deformed structure and mobility of the tongue during partial laryngectomy involves the issue of reconstruction of defects occurred during the surgery. Manometric examinations confirm the effectiveness of the method involving reconstruction of defects in a part of the base of the tongue with a vascular pedicle flap of the submandibular gland.
Authors:
P Strek; K Lorens; E Reroń; M Modrzejewski; J Składzień; N Szybist; J Belowska; Z Kitliński
Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; English Abstract; Journal Article    
Journal Detail:
Title:  Otolaryngologia polska. The Polish otolaryngology     Volume:  54     ISSN:  0030-6657     ISO Abbreviation:  Otolaryngol Pol     Publication Date:  2000  
Date Detail:
Created Date:  2001-03-26     Completed Date:  2001-04-19     Revised Date:  2007-12-28    
Medline Journal Info:
Nlm Unique ID:  0404453     Medline TA:  Otolaryngol Pol     Country:  Poland    
Other Details:
Languages:  pol     Pagination:  709-15     Citation Subset:  IM    
Affiliation:
Katedra i Klinika Otolaryngologii CM UJ w Krakowie.
Vernacular Title:
Manometryczna ocena zaburzeń fazy ustnej i gardłowej aktu połykania u chorych po operacjach cześciowego usuniecia krtani z powodu raka o lokalizacji nadgłośniowej.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Deglutition / physiology
Deglutition Disorders / diagnosis*,  etiology,  prevention & control
Glottis
Humans
Hyoid Bone / surgery*
Laryngeal Neoplasms / physiopathology,  surgery*
Laryngectomy / adverse effects*
Manometry
Middle Aged
Pneumonia, Aspiration / etiology,  prevention & control
Surgical Flaps
Tongue / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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