Tubed Supraglottic Laryngeal Closure to Treat Chronic Aspiration After Radiotherapy for Head and Neck Cancer

Objectives/Hypothesis To evaluate the long‐term swallowing outcomes after surgical treatment for chronic aspiration in patients treated with radiotherapy for head and neck cancer. Study Design This was a retrospective study. Methods The data of patients who underwent radiotherapy for head and neck c...

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Bibliographic Details
Published in:The Laryngoscope 2021-04, Vol.131 (4), p.E1234-E1243
Main Authors: Ku, Peter K. M., Vlantis, Alexander C., Cho, Ryan H. W., Yeung, Zenon W. C., Ho, Osan Y. M., Hui, Thomas S. C., Abdullah, Victor, Hasselt, Andrew, Tong, Michael C. F.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
aspiration
cancer
Deglutition Disorders - physiopathology
Dysphagia
Female
Head & neck cancer
head and neck
Head and Neck Neoplasms - radiotherapy
Humans
Laryngectomy - methods
Laryngoplasty - methods
Laryngoscopy
Male
Middle Aged
Pneumonia
Pneumonia, Aspiration - prevention & control
Radiation therapy
Retrospective Studies
surgery
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Summary:Objectives/Hypothesis To evaluate the long‐term swallowing outcomes after surgical treatment for chronic aspiration in patients treated with radiotherapy for head and neck cancer. Study Design This was a retrospective study. Methods The data of patients who underwent radiotherapy for head and neck cancer and who subsequently required a laryngectomy or a tubed supraglottic laryngeal closure (TSLC) for recurrent aspiration pneumonia between 2004 and 2017 were retrieved from a tertiary referral hospital dysphagia clinic. The Functional Oral Intake Scale (FOIS) and the Swallowing Performance and Status Scale (SPSS) were used to assess swallowing function. Results Of the 17 patients who required surgery for chronic aspiration secondary to radiotherapy for head and neck cancer, two underwent a laryngectomy and 15 a TSLC. During a mean follow‐up of 77 months, the FOIS and SPSS scores significantly improved at 12, 24, and 36 months after laryngectomy and TSLC relative to the baseline (P 
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.29217