| Swallowing outcomes following laryngectomy and pharyngolaryngectomy. | |
| | |
MedLine Citation:
|
PMID: 11843728 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To determine the incidence of dysphagia (defined as the inability to manage a diet of normal consistencies) at hospital discharge and beyond 1 year postsurgery and examine the impact of persistent dysphagia on levels of disability, handicap, and well-being in patients. DESIGN: Retrospective review and patient contact. SETTING: Adult acute care tertiary hospital. PATIENTS: The study group, consecutively sampled from January 1993 to December 1997, comprised 55 patients who underwent total laryngectomy and 37 patients who underwent pharyngolaryngectomy with free jejunal reconstruction. Follow-up with 36 of 55 laryngectomy and 14 of 37 pharyngolaryngectomy patients was conducted 1 to 6 years postsurgery. MAIN OUTCOME MEASURES: Number of days until the resumption of oral intake; swallowing complications prior to and following discharge; types of diets managed at discharge and follow-up; and ratings of disability, handicap, and distress levels related to swallowing. RESULTS: Fifty four (98%) of the laryngectomy and 37 (100%) of the pharyngolaryngectomy patients experienced dysphagia at discharge. By approximately 3 years postsurgery, 21 (58%) of the laryngectomy and 7 (50%) of the pharyngolaryngectomy patients managed a normal diet. Pharyngolaryngectomy patients experienced increased duration of nasogastric feeding, time to resume oral intake, and incidence of early complications affecting swallowing. Patients experiencing long-term dysphagia identified significantly increased levels of disability, handicap, and distress. Patients without dysphagia also experienced slight levels of handicap and distress resulting from taste changes and increased durations required to complete meals of normal consistency. CONCLUSIONS: The true incidence of patients experiencing a compromise in swallowing following surgery has been underestimated. The significant impact of impaired swallowing on a patient's level of perceived disability, handicap, and distress highlights the importance of providing optimal management of this negative consequence of surgery to maximize the patient's quality of life. |
| | |
Authors:
|
Elizabeth C Ward; B Bishop; J Frisby; M Stevens |
Related Documents
:
|
16912338 - How misconceptions among elderly patients regarding survival outcomes of inpatient card... 18807808 - Can pre-assessment of patients with luts result in early discharge from urology clinic? 12812248 - Geriatric trauma: resource use and patient outcomes. 11692138 - Comparison of air and ground transport of cardiac patients. 23504308 - The effect of poststroke delirium on short-term outcomes of elderly patients undergoing... 15820968 - Benign paroxysmal positional vertigo: clinical characteristics of dizzy patients referr... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of otolaryngology--head & neck surgery Volume: 128 ISSN: 0886-4470 ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 2002 Feb |
Date Detail:
|
Created Date: 2002-02-14 Completed Date: 2002-03-21 Revised Date: 2006-03-28 |
Medline Journal Info:
|
Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 181-6 Citation Subset: AIM; IM |
Affiliation:
|
Department of Speech Pathology and Audiology, The University of Queensland, St. Lucia 4072, Australia. Liz.Ward@mailbox.uq.edu.au |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Deglutition Disorders / etiology*, physiopathology Disability Evaluation Female Follow-Up Studies Health Status Humans Laryngectomy / adverse effects* Male Middle Aged Pharyngectomy / adverse effects* Postoperative Complications* Quality of Life Recovery of Function / physiology Retrospective Studies Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Near-total laryngectomy for laryngeal carcinomas with subglottic extension.
Next Document: Management of a giant lymphatic malformation of the tongue.