Complications that affect postlaryngectomy voice restoration: primary surgery vs salvage surgery

Archives of Otolaryngology--head & Neck Surgery
Heather M StarmerChristine G Gourin

Abstract

To assess the effect of primary treatment on tracheoesophageal voice prosthesis (TEP) complications. Retrospective cohort study. The Johns Hopkins Medical Institutions, Baltimore, Maryland. Patients who underwent total laryngectomy and TEP between January 1, 1998, and December 31, 2008, were divided into 3 subgroups according to primary treatment: surgery (n = 81), radiotherapy (n = 61), and chemoradiotherapy (n = 32). Number of weeks before leakage through the TEP, occurrence of leakage around the TEP, TEP dislodgement, and size changes 6 months or longer after laryngectomy. A total of 174 patients met the study criteria. Of the 81 patients who underwent primary surgery, 81% (n = 66) underwent adjuvant therapy with postoperative radiotherapy or chemoradiotherapy. The incidence of leakage around the prosthesis, prosthesis dislodgement, and size changes 6 months or longer after laryngectomy were significantly higher for patients who required salvage total laryngectomy after chemoradiotherapy or radiotherapy (P < .05). In addition, significantly more patients who underwent salvage total laryngectomy required extended laryngectomy or free tissue reconstruction. Voice prosthesis complications are more frequently encountered in thos...Continue Reading

Citations

Mar 2, 2011·Oral Oncology·L van der PuttenC R Leemans
Dec 12, 2012·European Annals of Otorhinolaryngology, Head and Neck Diseases·O ChoussyD Dehesdin
Nov 19, 2014·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·Kai J Lorenz
Apr 16, 2011·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Heather M StarmerChristine G Gourin
Oct 28, 2019·The Laryngoscope·Christopher Blake SullivanSteven M Sperry
Oct 16, 2019·International Journal of Language & Communication Disorders·Kelli L HancockAnne E Hill

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