PMID: 16514789Mar 7, 2006Paper

Comparison of the glottic closure reflex in traditional "open" versus endoscopic laser supraglottic laryngectomy

The Annals of Otology, Rhinology, and Laryngology
Clarence T SasakiSteffen Maune

Abstract

Cancer of the supraglottic larynx may be surgically treated with either traditional "open" supraglottic laryngectomy (OSL) or endoscopic laser supraglottic laryngectomy (ELSL). Pharyngeal dysphagia is a well-documented consequence of traditional OSL from which near-normal swallowing characteristically recovers 14 to 40 days after surgery. Conversely, ELSL results in the resumption of serviceable swallowing within 2 to 7 days after surgery. A prospective assessment of the glottic closure reflex in 6 consecutive patients who had ELSL was performed by fiberoptic endoscopic evaluation of swallowing with sensory testing. All 6 patients with ELSL demonstrated an intact glottic closure reflex both before surgery and 48 to 72 hours after surgery. In contrast, 7 of 8 historical control patients who had OSL demonstrated a persistent absence of the glottic closure reflex 3 weeks to 12 years later. Although a number of clinical factors influence swallowing recovery, one important factor separating our patient groups was the preservation of the glottic closure reflex in patients who underwent endoscopic laser resection. Because the loss of the glottic closure response persists for years after traditional OSL, it is concluded that the sensor...Continue Reading

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Citations

Apr 26, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Miklós CsanádyJózsef Jóri
Sep 27, 2008·Acta otorrinolaringológica española·Juan Pablo RodrigoCarlos Suárez
Jun 24, 2008·Otolaryngologic Clinics of North America·Heather M StarmerKimberly T Webster
Jan 4, 2017·Clinical and Experimental Otorhinolaryngology·UNKNOWN Korean Society of Thyroid-Head and Neck Surgery Guideline Task ForceKang Dae Lee
Aug 1, 2006·Photomedicine and Laser Surgery
May 4, 2010·The Annals of Otology, Rhinology, and Laryngology·Akihiro ShiotaniKoichiro Saito
Mar 27, 2010·The Annals of Otology, Rhinology, and Laryngology·Antonio SchindlerFrancesco Ottaviani
Dec 15, 2006·The Annals of Otology, Rhinology, and Laryngology·Giorgio PerettiPiero Nicolai
Mar 11, 2008·Head & Neck·Juan P RodrigoAlfio Ferlito
Jan 12, 2020·Anaesthesia Critical Care & Pain Medicine·Benoît PlaudBertrand Debaene

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