RESUMEN
OBJECTIVE: To describe the correlation between the residues, their anatomical location and the presence of laryngotracheal penetration and aspiration in patients after supracricoid laryngectomy undergoing cricohyoidoepiglotopexy reconstruction. METHODS: This study included 70 patients treated by supracricoid laryngectomy with cricohyoidoepiglotopexy reconstruction in a referral national cancer hospital. The patients were submitted to swallowing videofluoroscopy, and the findings were classified by the penetration and aspiration scale. The images were described observing the presence or absence of residues and their anatomical location. RESULTS: The prevalence of penetration in this study was 68.6% and aspiration was 34.3%. An association was found between the presence of residue on the tongue (p=0.005), posterior pharyngeal wall (p=0.013), pyriform recesses (p=0.002), valecula (p=0.061), and laryngeal penetration. The residue in the upper esophageal sphincter (p=0.039) was associated with the occurrence of laryngotracheal aspiration. CONCLUSION: Patients undergoing supracricoid laryngectomy with cricohioidoepiglotopexy reconstruction have food residues in different anatomical regions after swallowing. Penetration was associated with the presence of residues on the base of the tongue and posterior pharyngeal wall. Aspiration was associated with the presence of residues in the upper esophageal sphincter.
Asunto(s)
Trastornos de Deglución , Laringe , Deglución , Trastornos de Deglución/etiología , Trastornos de Deglución/cirugía , Humanos , Laringectomía/métodos , Laringe/cirugíaRESUMEN
OBJECTIVE: To investigate the association between aging and the functional aspects of swallowing (laryngeal penetration and laryngotracheal aspiration) in individuals who underwent supracricoid laryngectomy in the late period and without complaints. METHODS: A total of 70 patients, 56 (80%) aged >60 years and 14 (20%) <60 years, under outpatient follow-up, after cancer treatment and with no complaints of swallowing, performed functional evaluation using the swallowing videofluoroscopy. Image classification was performed using the penetration-aspiration scale developed by Rosenbek. The χ2 test and logistic regression were applied to associate the age categories to the outcomes (penetration and aspiration). RESULTS: Patients aged over 60 years had a higher prevalence of penetration (24.29%) and aspiration (48.57%) than patients aged under 60 years. In this sample, aspiration was associated with age. Patients aged over 60 years were more likely to present penetration (27% more) during swallowing than patients under 60 years. Patients aged over 60 years had an approximately four-fold greater probability of laryngotracheal aspiration than patients aged under 60 years. CONCLUSION: In patients without complaints of swallowing in the late postoperative period of supracricoid laryngectomy, there is a greater probability of laryngotracheal aspiration in elderly aged over 60 years than in individuals under 60 years.
Asunto(s)
Trastornos de Deglución , Neoplasias Laríngeas , Laringe , Anciano , Deglución , Trastornos de Deglución/epidemiología , Trastornos de Deglución/etiología , Humanos , Neoplasias Laríngeas/diagnóstico por imagen , Neoplasias Laríngeas/cirugía , Laringectomía , Periodo Posoperatorio , Resultado del TratamientoRESUMEN
Objective To describe functional and quality of life results after extended supratracheal laryngectomy. Methods In the period from September 2009 to January 2018, 11 male subjects were submitted to extended supratracheal laryngectomy. Swallowing abilities were assessed through videofluoroscopy and the clinical scale Functional Communication Measures of Swallowing. The voices were classified by means of the perceptual-auditory analysis Consensus Auditory-Perceptual Evaluation of Voice. All subjects completed a self-assessment questionnaire for voice and swallowing. Results Aspiration was found in four patients and all presented stasis in different structures. All subjects in this study were exclusively orally fed and hydrated. In the evaluation of quality of life in swallowing, patients had mean >80 in all areas (83.47 mean of scores). The general degree and the presence of roughness were the highest means present in Consensus Auditory-Perceptual Evaluation of Voice (37.81 and 49.36, respectively). The mean of 33.36 (±22.56) had little impact on quality of life under the perspective of vocal aspects. Conclusion After supratracheal laryngectomy, swallowing was sufficiently restored and the quality of life was satisfactory. The voice presents severely impaired quality and preserved oral communication, with low impact on the activities of daily living. All individuals who maintained two cricoarytenoid units presented better functional results in swallowing and voice.
Asunto(s)
Deglución/fisiología , Laringectomía/métodos , Calidad de Vida , Voz/fisiología , Anciano , Anciano de 80 o más Años , Humanos , Neoplasias Laríngeas/cirugía , Masculino , Persona de Mediana Edad , Calidad de Vida/psicología , Índice de Severidad de la Enfermedad , Encuestas y Cuestionarios , Factores de Tiempo , Resultado del TratamientoRESUMEN
ABSTRACT Objective: To describe the correlation between the residues, their anatomical location and the presence of laryngotracheal penetration and aspiration in patients after supracricoid laryngectomy undergoing cricohyoidoepiglotopexy reconstruction. Methods: This study included 70 patients treated by supracricoid laryngectomy with cricohyoidoepiglotopexy reconstruction in a referral national cancer hospital. The patients were submitted to swallowing videofluoroscopy, and the findings were classified by the penetration and aspiration scale. The images were described observing the presence or absence of residues and their anatomical location. Results: The prevalence of penetration in this study was 68.6% and aspiration was 34.3%. An association was found between the presence of residue on the tongue (p=0.005), posterior pharyngeal wall (p=0.013), pyriform recesses (p=0.002), valecula (p=0.061), and laryngeal penetration. The residue in the upper esophageal sphincter (p=0.039) was associated with the occurrence of laryngotracheal aspiration. Conclusion: Patients undergoing supracricoid laryngectomy with cricohioidoepiglotopexy reconstruction have food residues in different anatomical regions after swallowing. Penetration was associated with the presence of residues on the base of the tongue and posterior pharyngeal wall. Aspiration was associated with the presence of residues in the upper esophageal sphincter.
Asunto(s)
Humanos , Trastornos de Deglución/cirugía , Trastornos de Deglución/etiología , Laringe/cirugía , Deglución , Laringectomía/métodosRESUMEN
RESUMO Em tumores transglóticos estendidos para base de língua, a indicação para ressecção do osso hioide descarta a possibilidade de realização de uma laringectomia parcial horizontal clássica, devido ao grande risco de complicações pulmonares oriundas de uma disfagia grave. O objetivo deste estudo foi descrever os aspectos funcionais de deglutição e voz de um paciente submetido à laringectomia supratraqueal ampliada com cricoglossohioidopexia. Trata-se de um homem de 69 anos, com tumoração transglótica na hemilaringe direita, submetido à laringectomia supratraqueal ampliada, com ampliação para base de língua, osso hioide e aritenoide direita. Na videofluoroscopia da deglutição, observou-se aspiração silente para líquido fino durante a deglutição e resíduo em base de língua, valécula, aritenoide, esfíncter esofágico superior e recessos piriformes em todas as consistências e volumes. Na videolaringoscopia, observou-se voz por meio da vibração da unidade cricoaritenóidea esquerda, associada à base de língua e constritores da faringe. No protocolo Consensus Auditory-Perceptual Evaluation of Voice (CAPE V), notou-se grau moderado de rouquidão e soprosidade. O paciente apresentou preservação parcial das funções laríngeas, grau moderado de disfonia e alimentação e hidratação exclusivas por via oral, com sólidos macios e líquido espessado em néctar, sem prejuízos à saúde pulmonar, até o momento.
ABSTRACT In transglottic tumors extended to the base of the tongue, the indication for resection of the hyoid bone rules out the possibility of performing a classic horizontal partial laryngectomy due to the high risk of pulmonary complications resulting from severe dysphagia. This study aims to describe the functional aspects of swallowing and voice of a patient undergoing an enlarged supratracheal laryngectomy with cricoglossohioidopexy. This is a 69-year-old man with a transglottic tumor in the right hemilarynx, who underwent an extended supratracheal laryngectomy with enlargement to the base of the tongue, hyoid bone and right arytenoid. In swallowing videofluoroscopy, silent aspiration was observed in fine liquid and residue on the basis of tongue, valecule, arytenoid, upper esophageal sphincter and pyriform recesses in all consistencies and volumes. In videolaryngoscopy, a voice was observed through the vibration of the left cricoarytenoid unit associated with the base of the tongue and constrictors of the pharynx. The Consensus Auditory-Perceptual Evaluation of Voice (CAPE V) showed a moderate degree of hoarseness and breathiness. The patient had partial preservation of laryngeal functions, with a moderate degree of dysphonia and exclusive oral feeding and hydration with soft solids and thickened liquid in nectar without impairing lung health until the study.
Asunto(s)
Humanos , Masculino , Anciano , Trastornos de Deglución , Neoplasias Laríngeas/cirugía , Laringectomía , Laringe/fisiopatología , Hueso HioidesRESUMEN
ABSTRACT: Objective: To investigate the association between aging and the functional aspects of swallowing (laryngeal penetration and laryngotracheal aspiration) in individuals who underwent supracricoid laryngectomy in the late period and without complaints. Methods: A total of 70 patients, 56 (80%) aged >60 years and 14 (20%) <60 years, under outpatient follow-up, after cancer treatment and with no complaints of swallowing, performed functional evaluation using the swallowing videofluoroscopy. Image classification was performed using the penetration-aspiration scale developed by Rosenbek. The χ2 test and logistic regression were applied to associate the age categories to the outcomes (penetration and aspiration). Results: Patients aged over 60 years had a higher prevalence of penetration (24.29%) and aspiration (48.57%) than patients aged under 60 years. In this sample, aspiration was associated with age. Patients aged over 60 years were more likely to present penetration (27% more) during swallowing than patients under 60 years. Patients aged over 60 years had an approximately four-fold greater probability of laryngotracheal aspiration than patients aged under 60 years. Conclusion: In patients without complaints of swallowing in the late postoperative period of supracricoid laryngectomy, there is a greater probability of laryngotracheal aspiration in elderly aged over 60 years than in individuals under 60 years.
RESUMO Objetivo: Investigar a associação entre o envelhecimento e os aspectos funcionais da deglutição (penetração laríngea e aspiração laringotraqueal) em indivíduos submetidos à laringectomia supracricóidea no período tardio e sem queixas. Métodos: Setenta pacientes, sendo 56 (80%) >60 anos e 14 (20%) <60 anos, em acompanhamento ambulatorial, após tratamento oncológico e sem queixas de deglutição, realizaram avaliação funcional por meio da videofluoroscopia da deglutição. A classificação das imagens foi realizada por meio da escala de penetração-aspiração desenvolvida por Rosenbek. O teste do χ2 e a regressão logística foram aplicados para associação das categorias de idade aos desfechos (penetração e aspiração). Resultados: Os pacientes com idade acima de 60 anos apresentaram maior prevalência de penetração (24,29%) e aspiração (48,57%) do que aqueles com idade inferior a 60 anos. Nesta amostra, a aspiração se mostrou associada à idade. Pacientes acima de 60 anos tiveram chance 27% maior de penetração durante a deglutição do que os com menos de 60 anos. Pacientes acima de 60 anos tiveram chance aproximadamente quatro vezes maior de aspiração laringotraqueal do que pacientes com menos de 60 anos. Conclusão: Em pacientes sem queixas de deglutição no pós-operatório tardio de laringectomia supracricóidea, há maior chance de aspiração laringotraqueal em idosos acima de 60 anos do que em indivíduos abaixo de 60 anos.
Asunto(s)
Humanos , Anciano , Trastornos de Deglución/etiología , Trastornos de Deglución/epidemiología , Neoplasias Laríngeas/cirugía , Neoplasias Laríngeas/diagnóstico por imagen , Laringe , Periodo Posoperatorio , Resultado del Tratamiento , Deglución , LaringectomíaRESUMEN
ABSTRACT Objective To describe functional and quality of life results after extended supratracheal laryngectomy. Methods In the period from September 2009 to January 2018, 11 male subjects were submitted to extended supratracheal laryngectomy. Swallowing abilities were assessed through videofluoroscopy and the clinical scale Functional Communication Measures of Swallowing. The voices were classified by means of the perceptual-auditory analysis Consensus Auditory-Perceptual Evaluation of Voice. All subjects completed a self-assessment questionnaire for voice and swallowing. Results Aspiration was found in four patients and all presented stasis in different structures. All subjects in this study were exclusively orally fed and hydrated. In the evaluation of quality of life in swallowing, patients had mean >80 in all areas (83.47 mean of scores). The general degree and the presence of roughness were the highest means present in Consensus Auditory-Perceptual Evaluation of Voice (37.81 and 49.36, respectively). The mean of 33.36 (±22.56) had little impact on quality of life under the perspective of vocal aspects. Conclusion After supratracheal laryngectomy, swallowing was sufficiently restored and the quality of life was satisfactory. The voice presents severely impaired quality and preserved oral communication, with low impact on the activities of daily living. All individuals who maintained two cricoarytenoid units presented better functional results in swallowing and voice.
RESUMO Objetivo Descrever os resultados funcionais e de qualidade de vida após a laringectomia supratraqueal alargada. Métodos No período de setembro de 2009 a janeiro de 2018, 11 indivíduos do sexo masculino foram submetidos à laringectomia supratraqueal alargada. As habilidades de deglutição foram avaliadas por meio da videofluoroscopia e da escala clínica Functional Communication Measures . As vozes foram classificadas por análise perceptivo-auditiva da Consensus Auditory-Perceptual Evaluation of Voice . Todos os voluntários preencheram um questionário de autoavaliação para voz e deglutição. Resultados A aspiração foi encontrada em quatro pacientes, e todos apresentaram estase em diferentes estruturas. Todos os sujeitos deste estudo apresentavam alimentação e hidratação exclusivas por via oral. Na avaliação da qualidade de vida na deglutição, os pacientes demonstraram médias >80 em todas as áreas (83,47 média dos escores). O grau geral e a presença de rugosidade foram os maiores escores médios na avaliação perceptivo-auditiva da voz (37,81 e 49,36 consecutivamente). A média de 33,36 (±22,56) demonstrou pouco impacto na qualidade de vida sob a perspectiva dos aspectos vocais. Conclusão Após a laringectomia supratraqueal, a deglutição foi suficientemente restaurada, e a qualidade de vida foi satisfatória. A voz apresenta qualidade gravemente comprometida com comunicação oral preservada, demonstrando baixo impacto nas atividades da vida diária. Todos os indivíduos que mantiveram duas unidades cricoaritenóideas apresentaram melhores resultados funcionais na deglutição e na voz.
Asunto(s)
Humanos , Masculino , Anciano , Anciano de 80 o más Años , Calidad de Vida/psicología , Voz/fisiología , Deglución/fisiología , Laringectomía/métodos , Factores de Tiempo , Índice de Severidad de la Enfermedad , Neoplasias Laríngeas/cirugía , Encuestas y Cuestionarios , Resultado del Tratamiento , Persona de Mediana EdadRESUMEN
Introdução: A laringectomia parcial supratraqueal (LPST) é uma alternativa atual de intervenção cirúrgica, indicada para o tratamento de tumor laríngeo intermediário / avançado. Quando sua ressecção é mais ampla do que previsto, acrescentamos à nomenclatura o termo "extendida". Sua reconstrução é feita por uma traqueohioidoepiglotopexia (THEP). As principais complicações conhecidas deste procedimento estão relacionadas à deglutição e respiração. Objetivo: Caracterizar a população selecionada e avaliar aspectos funcionais da deglutição na LPST extendida em reconstrução THEP. Método: Estudo observacional de corte transversal de pacientes de ambos os sexos com neoplasia de laringe submetidos à LPST extendida THEP de um hospital oncológico entre 1995 a 2017. Realizou-se estudo de prontuário, consulta ao sistema cirúrgico, videofluoroscopia da deglutição e aplicação da escala National Outcomes Measurement System da American Speech-Language Hearing Association (ASHA NOMS). Resultados: 10 homens, idade entre 52 e 83 anos (mediana 69), 80% tabagistas e etilistas ao diagnóstico; T2 [70%], T3 [30%]. Resultados da videofluoroscopia da deglutição: 100% de estase em base da língua, 80% em valécula, aritenóide(s) e recessos piriformes, 40% em esfíncter esofágico superior e 30% em parede posterior da faringe; 30% apresentou aspiração. Todos apresentaram alimentação e hidratação exclusiva por via oral. Conclusão: Indivíduos homens, majoritariamente idosos, etilistas e tabagistas com estadiamentos intermediários e avançados. Todos possuíam capacidade de nutrição e hidratação sem vias alternativas de alimentação. A função de deglutição foi satisfatoriamente restaurada com atendimento fonoaudiológico especializado em todos os momentos do tratamento. Os pacientes com mais de nove meses de cirurgia apresentaram melhores resultados funcionais.
Introduction: Supratracheal partial laryngectomy (STPL) is a current alternative for surgical intervention, indicated for the treatment of intermediate / advanced laryngeal tumor. When its resection is broader than predicted by this technique, we add the term "extended" to its nomenclature. Its reconstruction is made, among variations, by traqueohyoidoepiglottopexy (THEP). The main complications of this procedure are related to swallowing and breathing. Objective: To characterize the selected population and to evaluate functional aspects of swallowing in extended STPL by THEP reconstruction. Method: Observational cross-sectional study on patients of both sexes with laryngeal neoplasm submitted to extended STPL by THEP in a cancer hospital from 1995 to 2017. A study of the medical record, consultation on the surgical system, Videofluoroscopy Swallowing Study and application of the scale National Outcomes Measurement System of the American Speech-Language Hearing Association (ASHA NOMS) were made. Results: 10 men, aged between 52 and 83 years (median 69), 80% smokers and alcoholics at diagnosis; T2 [70%], T3 [30%]. Results of videofluoroscopy of swallowing: 100% stasis on tongue base, 80% on vallecula, arytenoid (s) and pyriform recess, 40% on upper esophageal sphincter and 30% on posterior wall of pharynx; 30% presented aspiration. All of them presented oral nutrition and hydration. Conclusion: Male patients, mostly elderly, alcoholics and smokers with intermediate and advanced tumor staging. All of them had nutrition and hydration capacity without alternative food routes. The swallowing function was satisfactorily restored with specialized speech therapy at all times of treatment. Patients with more than nine months of surgery had better functional results.
Introducción: La laringectomía parcial supratraqueal (LPST) és indicada para el tratamiento de tumor laríngeo intermedio / avanzado. Cuando su resección es más amplia de lo previsto por la técnica, añadimos a nomenclatura el término "extendida". Su reconstrucción se realiza, entre variaciones, por traqueohioidoepiglotopexia (THEP). Las principales complicaciones conocidas de este procedimiento se relacionan con la deglución y la respiración. Objetivo: Caracterizar la población selecionada y evaluar aspectos funcionales de la deglución en la LPST extendida en reconstrucción THEP. Método: Estudio observacional de corte transversal de pacientes de ambos sexos con neoplasia de laringe sometidos a LPST extendida THEP de un hospital oncológico entre 1995-2017. Se realizó estudio de prontuario, consulta al sistema quirúrgico, videofluoroscopia de deglución y aplicación de la escala National Outcomes Measurement System da American Speech-Language Hearing Association (ASHA NOMS). Resultados: 10 hombres, edad entre 52 y 83 años (mediana 69), 80% tabaquistas y etilistas al diagnóstico; T2 [70%], T3 [30%]. Resultados de la videofluoroscopia de la deglución: 100% de estase en base de la lengua, 80% en valécula, ariteoide y recesos piriformes, 40% en esfínter esofágico superior y 30% en pared posterior de la faringe; El 30% presentó aspiración. Todos presentaron alimentación e hidratación exclusiva por vía oral. Conclusión: Individuos hombres, mayoritariamente ancianos, etilistas y tabaquistas con estadios intermedios y avanzados. Todos poseían capacidad de nutrición e hidratación sin vías alternativas de alimentación. La función de deglución fue satisfactoriamente restaurada con atención fonoaudiológica especializada en todos los momentos del tratamiento. Los pacientes con más de nueve meses de cirugía presentaron mejores resultados funcionales.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Anciano , Neoplasias Laríngeas , Epidemiología , Deglución , LaringectomíaRESUMEN
Os autores, estudaram retrospectivamente, 49 pacientes, portadores de linfoima nao Hodgkin extranodal em cabeça e pescoço, tratados de 1982 a 1991, na seçao de Cirurgia de Cabeça e Pescoço do Instituto Nacional do Câncer do Rio de Janeiro. Foram objeto de pesquisa a distribuiçao por idade, sexo, cor, associaçao com tabagismo e etilismo, sítio de localizaçao, tipo histológico, método diagnóstico, tratamento, tempo livre de doença, sobrevida e mortalidade. Com relaçao ao diagnóstico observou-se como resultados histopatológicos em biópsia de linfonodos, neoplasia maligna indiferenciada (9 casos), hiperplasia linfoide (5 casos), hiperplasia epitelial (3 casos). Estes resultados associados à clínica, deveriam levar o cirurgiao a refazer a pesquisa diagnostica. A melhor positividade de diagnóstico foi encontrada através de biópsia no local da lesao, quer seja por biópsia incisional ou excisional, em 79 por cento contra 21 por cento dos linfonodos.