Ocena funkcjonowania chorych z zaburzeniami połykania po operacji radykalnego usunięcia krtani

Katarzyna Godlewska; Barbara Jamróz; Joanna Chmielewska-Walczak; Magdalena Milewska

doi:10.31261/LOGOPEDIASILESIANA.2020.09.06

Published: 2020-10-27

No. 9 (2020)

Assessment of the functioning of patients with dysphagia after total laryngectomy

Katarzyna Godlewska

, Barbara Jamróz

, Joanna Chmielewska-Walczak

, Magdalena Milewska

Section: Articles

https://doi.org/10.31261/LOGOPEDIASILESIANA.2020.09.06

Abstract

The aim of the study was to evaluate the functioning of patients with swallowing disorders after total laryngectomy. The study initially included 20 patients who were more than 6 months after total laryngectomy, requiring videofluoroscopy (VFSS) due to reported dysphagia. The final group consisted of 10 people (8 men and 2 women). The examination procedure included conducting an interview, performing a full VFSS examination and completing the MDADI questionnaire by the patient. The most common problems found in the group were the lack of contact of the base of tongue with the posterior wall of the throat, disturbances in bolus formation and pumping movements of the tongue. The patients assessed their quality of life as low. The presence or absence of nasal food regurgitation significantly influenced the functioning of patients. Patients’ reports of swallowing disorders and problems with the production of voice and substitute speech are indications for further diagnosis (e.g. VFSS). The choice of an effective therapeutic method may improve the quality of life of these people.

Keywords:

total laryngectomy , quality of life , VFSS , MDADI

Download files

PDF ENG/PL (Język Polski)

Citation rules

Godlewska, K., Jamróz, B., Chmielewska-Walczak, J., & Milewska, M. (2020). Assessment of the functioning of patients with dysphagia after total laryngectomy. Logopedia Silesiana, (9), 1–21. https://doi.org/10.31261/LOGOPEDIASILESIANA.2020.09.06

Cited by / Share

References

Búa, B.A., Pendletonc, H., Westinb, U., Rydellc, R. (2018). Voice and swallowing after total laryngectomy. Acta Oto-Laryngologica, 138(2), e170–e174.
Google Scholar

Chen, A., Frankowski, R., Bishop-Leone, J. (2001). The development and validation of a dysphagia-specific quality of life questionnaire for patients with head and neck cancer. Archives of Otolaryngology–Head & Neck Surgery, 127, e870–e876.
Google Scholar

Chmielewska, J., Jamróz, B., Gibiński, K., Sielska-Badurek, E., Milewska, M., Niemczyk, K. (2017). Badanie wideofluoroskopowe – procedura badania z oceną kwestionariuszową. Polski Przegląd Otorynolaryngologiczny, 6(1), 2–20.
Google Scholar

Czerżyńska, M., Orłow, P., Choromańska, M. (2017). Skutki uboczne radioterapii nowotworów głowy i szyi. Metody leczenia odczynów popromiennych w jamie ustnej. Pediatria i Medycyna Rodzinna, 13(1), 53–62.
Google Scholar

Hamerlińska, A., Lemańczyk, M. (2018). Dysfagia nowotworowa w trakcie radioterapii na przykładzie osób po usunięciu krtani – wyniki badań własnych. Neurolingwistyka Praktyczna, 4, 86–103.
Google Scholar

Hutcheson, K., i in. (2012). Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer, 118(23), e5793-e5799.
Google Scholar

Jamróz, B., Chmielewska-Walczak, J., Milewska, M. (2019). Instrumentalne metody badania zaburzeń połykania. Atlas z materiałem wideo. Warszawa: Medyk.
Google Scholar

Landera, M.A., Lundy, D., Sullivan, P.A. (2010). Dysphagia after total laryngectomy. American Speech-Language-Hearning Association, 19(2), 39–44.
Google Scholar

Lippert, D., i in. (2016). Preliminary evaluation of functional swallow after total laryngectomy using high-resolution manometry. Annals of Otology, Rhinology & Laryngology, 125(7), e541–e549.
Google Scholar

Manikantan, K., i in. (2009). Dysphagia in head and neck cancer. Cancer Treatment Reviews, 35, e724–e732.
Google Scholar

Stoner, P.L., Fullerton, A.L., Freeman, A.M., Chheda, N.N., Estores, D.S. (2019). Endoscopic dilation of refractory postlaryngectomy strictures: A case series and literature review. Gastroenterology Research and Practice, e1–e9, https://doi.org/10.1155/2019/8905615.
Google Scholar

Stręk, P., i in. (2003). Ankietowa samoocena zaburzeń połykania i jakość życia u chorych leczonych z powodu nowotworów głowy i szyi. Otorynolaryngologia, 2(3), 120–125.
Google Scholar

Stręk, P., i in. (2005). Jakość życia a dysfagia u chorych po operacji raka krtani. Otorynolaryngologia, 4(3), 142–146.
Google Scholar

Stręk, P., i in. (2006). Wpływ podeszłego wieku na subiektywne oceniane zaburzenia połykania u chorych leczonych z powodu nowotworów głowy i szyi. Gerontologia Polska, 14(1), s. 98–105.
Google Scholar

Studzińska, K., Obrębowski, A., Wiskirska-Woźnica, B., Obrębowska, Z. (2012). Problemy psychologiczne w rehabilitacji chorych po operacjach całkowitego usunięcia krtani. Polski Przegląd Otorynolaryngologiczny, 2(1), 124–128.
Google Scholar

Sweeny, L., Golden, J.B., White, H.N., Magnuson, J.C., Carroll, W.R., Rosenthal, E.L. (2012). Incidence and outcomes of stricture formation postlaryngectomy. Otolaryngology – Head and Neck Surgery, 146(3), e395–e402.
Google Scholar

Terlingen, L.T., Pilz, W., Kuijer, M., Kremer, B., Baijens, L.W. (2018). Diagnosis and treatment of oropharyngeal dysphagia after total laryngectomy with or without pharyngoesophageal reconstruction: Systematic review. Head & Neck, 40, e2733–e2748.
Google Scholar

Zhang, T., i in. (2016). Biomechanics of pharyngeal deglutitive function following total laryngectomy. Otolaryngology – Head and Neck Surgery, 155(2), e295–e302.
Google Scholar

No. 9 (2020)
Published: 2021-01-12

ISSN: 2300-5246

eISSN: 2391-4297

10.31261/LOGOPEDIASILESIANA

Publisher

Wydawnictwo Uniwersytetu Śląskiego | University of Silesia Press

Submit