Hostname: page-component-75d7c8f48-t75wj Total loading time: 0 Render date: 2026-03-14T04:56:08.294Z Has data issue: false hasContentIssue false
  • English
  • Français

Rehabilitation following open partial laryngeal surgery: key issues and recommendations from the UK evidence based meeting on laryngeal cancer

Published online by Cambridge University Press:  15 April 2019

C Dawson ,
P Pracy ,
J Patterson  and
V Paleri
C Dawson*
Affiliation:
Department of Speech and Language Therapy, University Hospitals Birmingham NHS Trust, UK
P Pracy
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Hospitals Birmingham NHS Trust, UK
J Patterson
Affiliation:
Institute of Health and Society, Newcastle University, Newcastle Upon Tyne, UK
V Paleri
Affiliation:
Department of ENT, Royal Marsden NHS Foundation Trust, London, UK
*
Author for correspondence: Dr Camilla Dawson, Department of Speech and Language Therapy, University Hospitals Birmingham NHS Trust, Birmingham, UK E-mail: camilla.dawson@nhs.net
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

It is recognised that a limited cohort of patients receive open partial laryngeal surgery in specific centres within the UK, so sharing information around key clinical issues and recommendations for practice is necessary to improve outcomes.

Methods

This position statement provides practice recommendations based on a synthesis of the available evidence presented at the 12th Evidence Based Management day on ‘Laryngeal Cancer’ and the ensuing discussions. Literature searches and critical analysis of available evidence were undertaken and triangulated with the clinical experience of the authors to develop these recommendations.

Results and conclusion

This paper presents a comprehensive overview of challenges that the multidisciplinary team may encounter. It provides recommendations for swallow and speech rehabilitation after open partial laryngectomy, and suggests practical ways that these issues may be addressed pre- and post-operatively.

Keywords

Open Partial Surgery, LarynxConservation Surgery, LarynxSwallow RehabilitationSpeech RehabilitationSwallow TherapyDysphagia

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 3 , March 2019 , pp. 177 - 182
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

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

References

1Paleri, V, Thomas, L, Basavaiah, N, Drinnan, M, Mehanna, H, Jones, T. Oncologic outcomes of open conservation laryngectomy for radiorecurrent laryngeal carcinoma. Cancer 2011;117:2668–7610.1002/cncr.25831Google Scholar
2Thomas, L, Drinnan, M, Natesh, B, Mehanna, H, Jones, T, Paleri, V. Open conservation partial laryngectomy for laryngeal cancer: a systematic review of English language literature. Cancer Treat Rev 2012;38:203–1110.1016/j.ctrv.2011.05.010Google Scholar
3Bron, L, Brossard, E, Monnier, P, Pasche, P. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carcinomas. Laryngoscope 2000;110:627–3410.1097/00005537-200004000-00017Google Scholar
4Laccourreye, H, Laccourreye, O, Menard, M, Weinstein, G, Brasnu, D. Supracricoid laryngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma. Ann Otol Rhinol Laryngol 1990;99:421–610.1177/000348949009900601Google Scholar
5Gilbert, RW, Goldstein, DP, Guillemaud, JP, Patel, RS, Higgins, KM, Enepekides, DJ. Vertical partial laryngectomy with temporoparietal free flap reconstruction for recurrent laryngeal squamous cell carcinoma: technique and long-term outcomes. Arch Otolaryngol Head Neck Surg 2012;138:484–91Google Scholar
6Lewin, JS, Hutcheson, KA, Barringer, DA, May, AH, Roberts, DB, Holsinger, FC et al. Functional analysis of swallowing outcomes after supracricoid partial laryngectomy. Head Neck 2008;30:559–6610.1002/hed.20738Google Scholar
7Lips, M, Speyer, R, Zumach, A, Kross, KW, Kremer, B. Supracricoid laryngectomy and dysphagia: a systematic literature review. Laryngoscope 2015;125:2143–5610.1002/lary.25341Google Scholar
8Schindler, A, Pizzorni, N, Mozzanica, F, Fantini, M, Ginocchio, D, Bertolin, A et al. Functional outcomes after supracricoid laryngectomy: what do we not know and what do we need to know? Eur Arch Otorhinolaryngol 2016;273:3459–75Google Scholar
9Bagwell, K, Leder, SB, Sasaki, CT. Is partial laryngectomy safe forever? Am J Otolaryngol 2015;36:437–4110.1016/j.amjoto.2014.11.005Google Scholar
10Sylvester, MJ, Marchiano, E, Park, RCW, Baredes, S, Eloy, JA. Impact of chronic obstructive pulmonary disease on patients undergoing laryngectomy for laryngeal cancer. Laryngoscope 2017;127:417–2310.1002/lary.26050Google Scholar
11Chow, JM, Block, RM, Friedman, M. Preoperative evaluation for partial laryngectomy. Head Neck 1988;10:319–2310.1002/hed.2890100506Google Scholar
12Demir, MG. Respiratory functions after partial laryngectomy surgery. International Journal of Surgery Open 2016;4:27–3010.1016/j.ijso.2016.06.005Google Scholar
13Chen, AY, Frankowski, R, Bishop-Leone, J, Hebert, T, Leyk, S, Lewin, J et al. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001;127:870–6Google Scholar
14Patterson, JM, Hildreth, A, McColl, E, Carding, PN, Hamilton, D, Wilson, JA. The clinical application of the 100mL water swallow test in head and neck cancer. Oral Oncol 2011;47:180–410.1016/j.oraloncology.2010.11.020Google Scholar
15List, MA, Ritter-Sterr, C, Lansky, SB. A performance status scale for head and neck cancer patients. Cancer 1990;66:564–910.1002/1097-0142(19900801)66:3<564::AID-CNCR2820660326>3.0.CO;2-D3.0.CO;2-D>Google Scholar
16Rogers, SN, Gwanne, S, Lowe, D, Humphris, G, Yueh, B, Weymuller, EA Jr. The addition of mood and anxiety domains to the University of Washington quality of life scale. Head Neck 2002;24:521–910.1002/hed.10106Google Scholar
17Aaronson, NK, Ahmedzai, S, Bergman, B, Bullinger, M, Cull, A, Duez, NJ et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365–7610.1093/jnci/85.5.365Google Scholar
18Jacobson, BH, Johnson, A, Grywalski, C, Silbergleit, A, Jacobson, G, Benninger, MS et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 1997;6:66–7010.1044/1058-0360.0603.66Google Scholar
19Hirano, M. Objective evaluation of the human voice: clinical aspects. Folia Phoniatr (Basel) 1989;41:89–14410.1159/000265950Google Scholar
20Logemann, JA, Pauloski, BR, Rademaker, AW, Colangelo, LA. Super-supraglottic swallow in irradiated head and neck cancer patients. Head Neck 1997;19:535–4010.1002/(SICI)1097-0347(199709)19:6<535::AID-HED11>3.0.CO;2-43.0.CO;2-4>Google Scholar
21Logemann, JA, Gibbons, P, Rademaker, AW, Pauloski, BR, Kahrilas, PJ, Bacon, M et al. Mechanisms of recovery of swallow after supraglottic laryngectomy. J Speech Hear Res 1994;37:965–7410.1044/jshr.3705.965Google Scholar
22Denk, DM, Kaider, A. Videoendoscopic biofeedback: a simple method to improve the efficacy of swallowing rehabilitation of patients after head and neck surgery. ORL J Otorhinolaryngol Relat Spec 1997;59:100–510.1159/000276918Google Scholar
23Fujiu, M, Logemann, JA. Effect of a tongue-holding maneuver on posterior pharyngeal wall movement during deglutition. Am J Speech Lang Pathol 1996;5:23–3010.1044/1058-0360.0501.23Google Scholar
24Logemann, JA, Rademaker, A, Pauloski, BR, Kelly, A, Stangl-McBreen, C, Antinoja, J et al. A randomized study comparing the Shaker exercise with traditional therapy: a preliminary study. Dysphagia 2009;24:403–1110.1007/s00455-009-9217-0Google Scholar
25Lazarus, C, Logemann, JA, Gibbons, P. Effects of maneuvers on swallowing function in a dysphagic oral cancer patient. Head Neck 1993;15:419–2410.1002/hed.2880150509Google Scholar
26Stitzenberg, KB, Sigurdson, ER, Egleston, BL, Starkey, RB, Meropol, NJ. Centralization of cancer surgery: implications for patient access to optimal care. J Clin Oncol 2009;27:4671–810.1200/JCO.2008.20.1715Google Scholar
27Wouters, MWJM, Karim-Kos, HE, le Cessie, S, Wijnhoven, BP, Stassen, LP, Steup, WH et al. Centralization of esophageal cancer surgery: does it improve clinical outcome? Ann Surg Oncol 2009;16:1789–9810.1245/s10434-009-0458-9Google Scholar
28Nouraei, S, Middleton, S, Hudovsky, A, Darzi, A, Stewart, S, Kaddour, H et al. A national analysis of the outcome of major head and neck cancer surgery: implications for surgeon-level data publication. Clin Otolaryngol 2013;38:502–11Google Scholar