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The effect of tracheostomy on swallowing function in open partial horizontal laryngectomies: preliminary experience

Published online by Cambridge University Press:  03 November 2021

D Lucidi ,
C Botti ,
M Fermi ,
M P Luppi ,
M Alicandri-Ciufelli ,
L Presutti  and
F Mattioli
D Lucidi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
C Botti*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
M Fermi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
M P Luppi
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
M Alicandri-Ciufelli
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
L Presutti
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
F Mattioli
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Modena, Italy
*
Author for correspondence: Dr Cecilia Botti, Department of Otolaryngology – Head and Neck Surgery, University Hospital of Modena, Via del Pozzo, 41125 Modena, Italy E-mail: botceci@gmail.com
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Abstract

Objective

Tracheostomy is required to ensure a safe airway in open partial horizontal laryngectomies. The presence of the tracheostomy tube can contribute to post-operative dysphagia. This study aimed to evaluate the effects of a circumferential tracheostomy technique on swallowing.

Methods

A retrospective study was conducted of patients who underwent open partial horizontal laryngectomies between April 2018 and June 2019. Patients were divided into two groups based on the tracheostomy technique: group 1 had two stitches from the inferior tracheal ring to the skin; group 2 had circumferential fixation of the trachea to the skin. Demographic information, surgical data, post-operative rehabilitation course and complication details were collected and analysed.

Results

Twenty-four patients were enrolled. Patients in group 2 had significant improvement in the initial phases of swallowing rehabilitation.

Conclusion

Tracheostomy with anchorage of the trachea to the skin by circumferential stitches could allow early removal of the tracheal tube, with a better swallowing outcome.

Keywords

TracheostomyTracheotomyPartial Horizontal LaryngectomySwallowingDysphagia
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 73 - 78
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr C Botti takes responsibility for the integrity of the content of the paper

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