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Can I read Functional Analysis of Swallowing Outcomes After Supracricoid Partial Laryngectomy on EtoBox?

Functional Analysis of Swallowing Outcomes After Supracricoid Partial Laryngectomy by Jan S. Lewin; Katherine A. Hutcheson; Denise A. Barringer; Annette H. May; Dianna B. Roberts; F. Christopher Holsinger; Eduardo M. Diaz Jr. is a Medicine article available to read on EtoBox.

What is Functional Analysis of Swallowing Outcomes After Supracricoid Partial Laryngectomy about?

## Abstract ## Background. In this study, we analyzed swallowing recovery after supracricoid partial laryngectomy (SCPL). ## Methods. We retrospectively reviewed 27 patients treated with SCPL (September 1997 to March 2005). We evaluated recovery course, nutritional outcomes, and swallowing using objective analysis. Modified barium swallow (MBS) study results identified swallowing physiology and therapeutic effectiveness. ## Results. Average length of hospitalization was 7.7 ± 9.2 days; time to decannulation was 5.3 ± 8.2 weeks. The most common complications included pneumonia and subcutaneous emphysema (26%). Twenty‐two patients had MBS studies, in which initially, all patients aspirated due to neoglottic incompetency, and impaired base of tongue and laryngeal movements. Although aspiration rates did not change significantly over time, use of appropriately selected swallowing strategies effectively protected the airway (__p__ = .0365). Ultimately, 81% of patients returned to complete oral intake with median tube removal at 9.4 weeks. ## Conclusion. SCPL produces severe dysphagia initially. Our findings suggest that objective swallowing assessment is important for return to oral nut

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Author
Jan S. Lewin; Katherine A. Hutcheson; Denise A. Barringer; Annette H. May; Dianna B. Roberts; F. Christopher Holsinger; Eduardo M. Diaz Jr.
Publisher
John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley; Research Square (ISSN 1043-3074)
Published
2007
Language
EN
Field
Medicine (Health Sciences)

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