Clinical Study about Factors in Deglutition following Conservation Surgery for Supraglottic Carcinoma |
Young Min Kim, MD, You Bo Moon, MD, Young Soo Rho, MD, Young Min Park, MD, and Hyun Joon Lim, MD |
Deparment of Otolaryngology, College of Medicine, Hallym University, Seoul, Korea |
성문상부암의 보존적 수술시 연하에 미치는 인자에 관한 연구 |
김영민 · 문유보 · 노영수 · 박영민 · 임현준 |
한림대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
Recently, there has been increased number of conservation surgery for the treatment of supraglottic carcinoma. This conservative surgery has theoretical merits of preservation of layngeal phonatory function with maintenance of cure rates of total layngectomy. However, there remains concerns about deglutition difficulty in successful performance of conservative laryngeal surgery. We herein evaluated factors to predict succesful deglutition, such as age, surgical method, extent of surgery(removal of arytenoid, aryepiglottic fold, pyriform sinus, hyoid bone, etc.), neck dissection, cricopharyngeal myotomy following conservation layngeal surgery for supraglottic carcinoma. And our reults showed that standard supraglottic laryngectomy with preservation of arytenoid predicted good for deglutition after surgery.
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Keywords:
Conservation laryngeal surgeryㆍSupraglottic carcinomaㆍDeglutition |
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