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 stud...

Address of Correspondence: Dr.Dipak Ranjan Nayak Professor Head of Unit-I Kasturba Medical College, Manipal E mail: [email protected] ABSTRACT: Objective: : This is a study of clincopathological features and outcome of surgical management with 3 years survival pattern following total/near total laryngectomy in advanced III,IV squamous cell carcinoma larynx. Methods: Retrospective observatio...

IMPORTANCE Patients undergoing total laryngectomy are at high risk for hospital readmission. Hospital readmissions are increasingly scrutinized because they are used as a metric of quality care and are subject to financial penalties. OBJECTIVE To determine the rate of, reasons for, and risk factors that predict 30-day unplanned readmission for patients undergoing total laryngectomy. DESIGN,...

The aim of the present study was to evaluate the oncological efficacy of salvage total laryngectomy in patients who had previously undergone supracricoid partial laryngectomy or transoral laser microsurgery for treatment of laryngeal squamous cell carcinoma. We retrospectively reviewed the medical, surgical and pathological records of 35 patients who underwent salvage total laryngectomy after r...

OBJECTIVES/HYPOTHESIS Elective neck dissection for the clinically negative neck is often a matter of debate. A decision-analysis model that was published in 1994 established the widely accepted principle that neck dissection is warranted when the risk for occult metastases is higher than 20%. The aim of the present study was to build a specific and up-to-date decision-analysis model to determin...

BACKGROUND The Self-Evaluation of Communication Experiences after Laryngeal Cancer (SECEL) questionnaire assesses the impact of total laryngectomy on communication-related quality of life (QOL). This study evaluates the Italian version of the SECEL (I-SECEL), including reliability, concurrent validity, and differences in scores between patients who undergo either total laryngectomy or partial l...

We were pleased to read Paleri and coauthors’ article “Vascularized Tissue to Reduce Fistula Following Salvage Total Laryngectomy: A Systematic Review” published in The Laryngoscope’s August 2014 issue. The review found a decrease in the rate of pharyngocutaneous fistulas by one third in salvage laryngectomy patients treated with a vascularized flap. Our group has previously published on this m...

OBJECTIVES To assess the rate of thyroid gland invasion and the need for thyroidectomy in advanced laryngeal and hypopharyngeal carcinomas that require total laryngectomy. PATIENTS AND METHODS Between 1994 and 2001, 129 total laryngectomy with ipsilateral hemithyroidectomy and 14 total laryngopharyngectomy with total thyroidectomy operations were performed for primary squamous cell carcinoma ...

Objectives: To use the framework proposed by the International Classification of Functioning, Disability and Health (ICF) to review outcomes related to quality of life (QOL) after total laryngectomy. Patients/Materials and Methods: Results from papers published on QOL after total laryngectomy were organized according to the ICF framework. Outcomes were summarized relative to the contribution of...