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Rehabilitation after supracricoid partial laryngectomy: cohort study

Year: 2024

Type: article

Abstract: • Supracricoid laryngectomy remains a good option for laryngeal tumors. • Moderate to severe vocal disability is expected, but a great quality of life remains. • Patients previously rehabilitated experienced aspiration with specific exams. • Penetration and aspiration do not worsen quality of life and survival. • Oncological results are encouraging, with an average overall survival around 79.7%. To evaluate vocal, swallowing and respiratory rehabilitation of patients undergoing supracricoid laryngectomy; evaluate the impact of voice changes and global quality of life. It is a prospective cohort study where voice, swallowing and respiratory rehabilitation where evaluated. Quality of life was assessed using EORTC QLQ-C30 and H&N35 questionnaires. 31 patients were included in the study. 70.4% of patients were T3. In swallowing assessment, two patients (6.4%) were considered non-rehabilitated. Ten patients (32.2%) were considered partially rehabilitated and 19 (61.3%) fully rehabilitated. Sensitivity was abnormal at 74.2%. Penetration occurred in 58.1% of patients with 29% experiencing aspiration. In voice assessment, 19 (61.3%) patients were considered rehabilitated. 77.41% had a calculated voice handicap index considered abnormal. When assessing breathing, eight patients (25.8%) were considered non-rehabilitated. Disease-free survival was 87.1% in follow-up of 5.77 years. When subjected to specific exams and evaluations, only 38.7% were completely rehabilitated. When comparing results of EORTC-C30 and H&N35 questionnaires with the reference values, global score and domain scores are better on the patients of the study, as well as some of the symptoms. Partial supracricoid laryngectomy remains an option in patients with laryngeal tumors, especially in the most advanced ones, with a survival rate around 90%. Quality of life is impacted after surgery, but with few symptoms. Level 3. 1

Source: Brazilian Journal of Otorhinolaryngology

DOI: 10.1016/j.bjorl.2024.101532