The aim of this study was to establish the incidence, risk factors, and the management of pharyngocutaneous fistula (PCF) after primary and salvage total laryngectomy. A retrospective, match-paired analysis of 86 patients who developed fistula after total laryngectomy was carried out and compared with a control group of 86 patients without fistula, randomly selected from a pool of 352 total lar...

T racheoesophageal puncture (TEP) is the preferred method for voice restoration following total laryngectomy. While several techniques for secondary puncture have been described, most require general anesthesia or intravenous sedation. Techniques for in-office, unsedated secondary TEP have been developed but are limited due to patient discomfort, inability to maintain direct visualization of th...

BACKGROUND Pharyngocutaneous fistula (PCF) is a problematic complication following total laryngectomy. Disagreement remains regarding predisposing factors. This study examines perioperative factors predicting PCF following total laryngectomy using a large multicenter data registry. METHODS Retrospective cohort analysis was performed using patients undergoing total laryngectomy in the ACS-NSQI...

This clinical report describes the prosthetic management of a patient following total glossectomy and total laryngectomy that severely compromised his oral function, caused facial disfigurement, and limited the patient's quality of life. A feeding aid prosthesis was designed to address the patient's chief complaint of difficulty in feeding and mastication. The prosthesis was designed as an impl...

UNLABELLED Total laryngectomy is a surgical procedure that can change swallowing biomechanics, including muscle activity of the masseter; this muscle stabilizes the mandible. AIM To characterize the electrical activity of the masseter muscle during swallowing after total laryngectomy. Series study. MATERIAL AND METHODS An electromyographic evaluation of swallowing was carried out; three dif...

OBJECTIVE Supracricoid laryngectomy with cricohyoidoepiglottopexy has been known to be able to cope with tumor excisions with minimal margins. Extended resection may result in a limited margin and may impair the prognosis. We conducted a clinicopathologic analysis of local recurrence in supracricoid laryngectomy with cricohyoidoepiglottopexy patients. METHODS Between 1997 and 2013, 100 patien...

OBJECTIVES/HYPOTHESIS Although chronic obstructive pulmonary disease (COPD) is a common comorbidity in patients undergoing laryngeal cancer surgery, the impact of this comorbidity in this setting is not well established. In this analysis, we used the Nationwide Inpatient Sample (NIS) to elucidate the impact of COPD on outcomes after laryngectomy for laryngeal cancer. METHODS The NIS was queri...

BACKGROUND Indications for thyroidectomy during laryngectomy are controversial. We examined whether clinicopathologic features can predict thyroid gland involvement, and the prognostic effect of thyroid gland involvement in patients undergoing total laryngectomy. METHODS The study set out to review preoperative assessment, operation findings, pathologic findings, and follow-up data. RESULTS...

CONTEXT Swallowing is a continuous dynamic process, characterized by complex stages, that involves structures of the oral cavity, pharynx, larynx and esophagus. It can be divided into three phases: oral, pharyngeal and esophageal. Dysphagia is characterized by difficulty with, or the inability to swallow food of normal consistencies. OBJECTIVE To investigate the presence of swallowing difficu...

OBJECTIVES/HYPOTHESIS The past 2 decades have witnessed an increase in the use of chemoradiation in the treatment of laryngeal cancer. We sought to characterize contemporary patterns of laryngeal cancer surgical care and the effect of volume status on surgical care and short-term outcomes. STUDY DESIGN Retrospective cross-sectional study. METHODS Using the Nationwide Inpatient Sample databa...