Does lack of glottic closure affect quality of life as a cause of constipation in laryngectomized patients?

The permanent disappearance of glottic closure eventually causes inadequate defecatory propulsion resulting in functional constipation. The aim of this study is to reveal functional constipation probably induced by lack of glottic closure in laryngectomized patients. The study was conducted in a pro...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2013-02, Vol.270 (2), p.629-634
Main Authors: Ugur, Seher Sirin, Yuksel, Sancak, Coskun, Berna Uslu, Dadas, Burhan, Sirin, Goktug, Selcuk, Adin
Format: Article
Language:English
Subjects:
Aged
Constipation - etiology
Constipation - physiopathology
Gastrointestinal Transit
Glottis - physiopathology
Head and Neck Surgery
Humans
Laryngectomy - adverse effects
Laryngology
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otorhinolaryngology
Quality of Life
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Summary:The permanent disappearance of glottic closure eventually causes inadequate defecatory propulsion resulting in functional constipation. The aim of this study is to reveal functional constipation probably induced by lack of glottic closure in laryngectomized patients. The study was conducted in a prospective, tertiary care center. Forty patients who had undergone total laryngectomy (study group) and 30 who had undergone microlaryngoscopic surgery (control group) were evaluated. Based on the European Organisation for Research and Treatment of Cancer, Quality of Life Questionnaires C30, the presence of functional constipation was investigated using the Rome II diagnostic criteria and was confirmed by measurement of colonic transit time using a radiopaque marker test. Functional constipation and colonic transit time were found to be increased and statistically significant in laryngectomized patients (70 %) compared with the control group (26 %) ( p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-012-2176-3