Zeynep ERDOĞAN ÇETİN, Sibel EYİGÖR, Kerem ÖZTÜRK, Göksel TURHAL, Serdar AKYILDIZ, Atilla YAVUZER

FARKLI PARSİYEL LARENJEKTOMİ TEKNİKLERİNDE YUTMANIN KARŞILAŞTIRILMASI

Amaç: Bu çalışma, farklı parsiyel larenjektomi (PL) tekniklerinin yutma üzerindeki etkilerini değerlendirmek ve karşılaştırmak amacıyla tasarlandı. Gereç ve Yöntemler: On hastada kordektomi ile laringofissür, onunda epiglotik rekonstrüksiyon (FAL) ile frontal anterior larenjektomi, on hastada frontolateral larenjektomi (FLL), on hastada krikohiyoidopeksi (CHP), on hastada krikohiyoidoepiglottopeksi (CHEP) ve diğer onunda supraglotik larenjektomi operasyonu yapılmıştı. Yutma fleksible endoskopi ile değerlendirildi. Bulgular: Katı yiyecekler için hafif veya orta derecede disfaji, CHP hastalarında FLL ve FAL hastalarına kıyasla anlamlı olarak daha sık olduğu bulundu (p<0,05). Yarı katı ve sıvı gıdalar için disfaji araştırmasında, PL’ler arasında önemli ölçüde farklılık gösterilmedi (p>0,05). Diğer PL’lere kıyasla, 10 ml su ile penetrasyon- aspirasyon testi, kordektomi ve FLL hastalarında belirgin şekilde daha düşüktü (p<0,05). Sonuç: Kordektomi ve FLL hastalarında diğer PL hastalarına göre 10 ml su ile penetrasyon ve aspirasyon testi, daha düşüktü. Daha fazla hastayı içeren çalışmalar sayesinde vermiş olduğumuz sonuçların kanıt değerinin artırılması mümkün olacaktır.

Anahtar Kelimeler:

Parsiyel larenjektomi, fiberoptik endoskopik yutma değerlendirmesi (FEYD), yutma bozuklukları, disfaji

COMPARISON OF SWALLOWING IN DIFFERENT TYPES OF PARTIAL LARYNGECTOMIES

Objective: We designed this study to assess and compare the effects of different partial laryngectomy (PL) techniques on swallowing. Material and Methods: Ten patients had laryngofissure with cordectomy, ten had frontal anterior laryngectomy with epiglottic reconstruction (FAL), ten had frontolateral laryngectomy (FLL), ten had cricohyoidopexy (CHP), ten had cricohyoidoepiglottopexy (CHEP), and ten had supraglotic laryngectomy. Swallowing was assessed with flexible endoscopy. Results: Mild or moderate dysphagia for solid foods was discovered significantly more often in CHP patients compared to FLL and FAL (p<0.05) patients. Dysphagia discoveries for semi-solid and liquid food didn’t significantly differ among PL’s (p>0.05). Compared to other PLs, the penetration-aspiration test with 10 ml of water was distinctly lower in cordectomy and FLL patients (p<0.05). Conclusion: Penetration and aspiration with 10 ml of water was marked lower in cordectomy and FLL patients matched to other PL patients. With studies involving more patients, it will be possible to increase the evidence value of our results.

Keywords:

Partial laryngectomy, fiberoptic endoscopic evaluation of swallowing (FEES), deglutition disorders, dysphagia,

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