Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-17T19:04:50.433Z Has data issue: false hasContentIssue false
  • English
  • Français

The effect of tracheostomy on swallowing function in open partial horizontal laryngectomies: preliminary experience

Published online by Cambridge University Press:  03 November 2021

D Lucidi ,
C Botti ,
M Fermi ,
M P Luppi ,
M Alicandri-Ciufelli ,
L Presutti  and
F Mattioli
D Lucidi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
C Botti*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
M Fermi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
M P Luppi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
M Alicandri-Ciufelli
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
L Presutti
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
F Mattioli
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
*
Author for correspondence: Dr Cecilia Botti, Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Via del Pozzo, 41125 Modena, Italy E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Tracheostomy is required to ensure a safe airway in open partial horizontal laryngectomies. The presence of the tracheostomy tube can contribute to post-operative dysphagia. This study aimed to evaluate the effects of a circumferential tracheostomy technique on swallowing.

Methods

A retrospective study was conducted of patients who underwent open partial horizontal laryngectomies between April 2018 and June 2019. Patients were divided into two groups based on the tracheostomy technique: group 1 had two stitches from the inferior tracheal ring to the skin; group 2 had circumferential fixation of the trachea to the skin. Demographic information, surgical data, post-operative rehabilitation course and complication details were collected and analysed.

Results

Twenty-four patients were enrolled. Patients in group 2 had significant improvement in the initial phases of swallowing rehabilitation.

Conclusion

Tracheostomy with anchorage of the trachea to the skin by circumferential stitches could allow early removal of the tracheal tube, with a better swallowing outcome.

Keywords

TracheostomyTracheotomyPartial Horizontal LaryngectomySwallowingDysphagia
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 73 - 78
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr C Botti takes responsibility for the integrity of the content of the paper

References

Succo, G, Peretti, G, Piazza, C, Remacle, M, Eckel, HE, Chevalier, D et al. Open partial horizontal laryngectomies: a proposal for classification by the working committee on nomenclature of the European Laryngological Society. Eur Arch Otorhinolaryngol 2014;271:2489–96CrossRefGoogle ScholarPubMed
Chawla, S, Carney, AS. Organ preservation surgery for laryngeal cancer. Head Neck Oncol 2009;1:12CrossRefGoogle ScholarPubMed
Rizzotto, G, Crosetti, E, Lucioni, M, Succo, G. Subtotal laryngectomy: outcomes of 469 patients and proposal of a comprehensive and simplified classification of surgical procedures. Eur Arch Otorhinolaryngol 2012;269:1635–46CrossRefGoogle ScholarPubMed
Succo, G, Crosetti, E, Bertolin, A, Lucioni, M, Arrigoni, G, Panetta, V et al. Benefits and drawbacks of open partial horizontal laryngectomies, part B: intermediate and selected advanced stage laryngeal carcinoma. Head Neck 2016;38(suppl 1):E649–57CrossRefGoogle ScholarPubMed
Lewin, JS, Hutcheson, KA, Barringer, DA, May, AH, Roberts, DB, Holsinger, FC et al. Functional analysis of swallowing outcomes after supracricoid partial laryngectomy. Head Neck 2008;30:559–66CrossRefGoogle ScholarPubMed
Alicandri-Ciufelli, M, Piccinini, A, Grammatica, A, Chiesi, A, Bergamini, G, Luppi, MP et al. Voice and swallowing after partial laryngectomy: factors influencing outcome. Head Neck 2013;35:214–19CrossRefGoogle ScholarPubMed
Lips, M, Speyer, R, Zumach, A, Kross, KW, Kross, KW, Kremer, B. Supracricoid laryngectomy and dysphagia: a systematic literature review. Laryngoscope 2015;125:2143–56CrossRefGoogle ScholarPubMed
Benito, J, Holsinger, FC, Pérez-Martín, A, Garcia, D, Weinstein, GS, Laccourreye, O. Aspiration after supracricoid partial laryngectomy: incidence, risk factors, management, and outcomes. Head Neck 2011;33:679–85CrossRefGoogle Scholar
Ceriana, P, Carlucci, A, Schreiber, A, Fracchia, C, Cazzani, C, Dichiarante, M et al. Changes of swallowing function after tracheostomy: a videofluoroscopy study. Minerva Anestesiol 2015;81:389–97Google ScholarPubMed
Holsinger, FC, Tomeh, C, Moore, MW, Yan, W, Chen, C, Laccourreye, O. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy: surgical technique illustrated in the anatomy laboratory. Head Neck 2015;37:906–8CrossRefGoogle ScholarPubMed
Bartella, AK, Kamal, M, Berman, S, Steiner, T, Frölich, D, Hölzle, F et al. Role of swallowing function of tracheotomised patients in major head and neck cancer surgery. J Craniofac Surg 2018;29:e122–4CrossRefGoogle ScholarPubMed
Leszczyńska, M, Wierzbicka, M, Tokarski, M, Szyfter, W. Attempt to improve functional outcomes in supracricoid laryngectomy in T2b and T3 glottic cancers. Eur Arch Otorhinolaryngol 2015;272:2925–31CrossRefGoogle ScholarPubMed
Gonçalves, AJ, Bertelli, AA, Malavasi, TR, Kikuchi, W, Rodrigues, AN, Menezes, MB. Results after supracricoid horizontal partial laryngectomy. Auris Nasus Larynx 2010;37:84–8CrossRefGoogle ScholarPubMed
Clayburgh, DR, Graville, DJ, Palmer, AD, Schindler, JS. Factors associated with supracricoid laryngectomy functional outcomes. Head Neck 2013;35:1397–403Google ScholarPubMed
Suzuki, M, Tsunoda, A, Shirakura, S, Sumi, T, Nishijima, W, Kishimoto, S. A novel permanent tracheostomy technique for prevention of stomal stenosis (triangular tracheostomy). Auris Nasus Larynx 2010;37:465–8CrossRefGoogle Scholar
Clasen, D, Keszte, J, Dietz, A, Oeken, J, Meister, EF, Guntinas-Lichius, O et al. Quality of life during the first year after partial laryngectomy: longitudinal study. Head Neck 2018;40:1185–95CrossRefGoogle ScholarPubMed
Marchese-Ragona, R, Marioni, G, Chiarello, G, Staffieri, A, Pastore, A. Supracricoid laryngectomy with cricohyoidopexy for recurrence of early-stage glottic carcinoma after irradiation. Long-term oncological and functional results. Acta Otolaryngol 2005;125:91–5CrossRefGoogle ScholarPubMed
Yüce, I, Cağli, S, Bayram, A, Karasu, F, Sati, I, Güney, E. The effect of arytenoid resection on functional results of cricohyoidopexy. Otolaryngol Head Neck Surg 2009;141:272–5CrossRefGoogle ScholarPubMed
Pinar, E, Imre, A, Calli, C, Oncel, S, Katilmis, H. Supracricoid partial laryngectomy: analyses of oncologic and functional outcomes. Otolaryngol Head Neck Surg 2012;147:1093–8CrossRefGoogle ScholarPubMed
Karasalihoglu, AR, Yagiz, R, Tas, A, Uzun, C, Adali, MK, Koten, M. Supracricoid partial laryngectomy with cricohyoidopexy and cricohyoidoepiglottopexy: functional and oncological results. J Laryngol Otol 2004;118:671–5CrossRefGoogle ScholarPubMed