Background. We conducted this longitudinal prospective study to illustrate a surgical technique for swallowing rehabilitation of patients after partial laryngectomy. Methods. Nine patients with persistent swallowing impairment after partial laryngectomy were included in the study. Evaluation of swallowing was performed by fiberoptic endoscopic evaluation of swallowing (FEES), and was quantified using 2 scales: a dysphagia score and a modified penetrationaspiration scale. The site of bolus inhalation was identified. Polydimethylsiloxane (PDMS) was injected into the neoglottis to fill these passages, and to obtain a certain continence of the organ. Results. Mean follow-up was 25 months (range, 5-39). All patients showed an improvement both in the dysphagia score and in the modified penetration-aspiration scale. Average improvement was 2.6 points in the dysphagia score (p = .0042) and 2.1 points in the modified penetration-aspiration scale (p = .0043). Conclusion. PDMS injection can be considered as an option in surgical rehabilitation of swallowing in patients who underwent partial laryngectomy. © 2009 Wiley Periodicals, Inc.

Rehabilitation of swallowing with polydimethylsiloxane injections in patients who underwent partial laryngectomy / Bergamini, G.; Alicandri-Ciufelli, M.; Molteni, G.; De Siati, D. R.; Luppi, M. P.; Marchioni, D.; Presutti, L.. - In: HEAD & NECK. - ISSN 1043-3074. - 31:8(2009), pp. 1022-1030. [10.1002/hed.21064]

Rehabilitation of swallowing with polydimethylsiloxane injections in patients who underwent partial laryngectomy

Bergamini G.;Alicandri-Ciufelli M.;Molteni G.;Luppi M. P.;Marchioni D.;Presutti L.
2009

Abstract

Background. We conducted this longitudinal prospective study to illustrate a surgical technique for swallowing rehabilitation of patients after partial laryngectomy. Methods. Nine patients with persistent swallowing impairment after partial laryngectomy were included in the study. Evaluation of swallowing was performed by fiberoptic endoscopic evaluation of swallowing (FEES), and was quantified using 2 scales: a dysphagia score and a modified penetrationaspiration scale. The site of bolus inhalation was identified. Polydimethylsiloxane (PDMS) was injected into the neoglottis to fill these passages, and to obtain a certain continence of the organ. Results. Mean follow-up was 25 months (range, 5-39). All patients showed an improvement both in the dysphagia score and in the modified penetration-aspiration scale. Average improvement was 2.6 points in the dysphagia score (p = .0042) and 2.1 points in the modified penetration-aspiration scale (p = .0043). Conclusion. PDMS injection can be considered as an option in surgical rehabilitation of swallowing in patients who underwent partial laryngectomy. © 2009 Wiley Periodicals, Inc.
2009
31
8
1022
1030
Rehabilitation of swallowing with polydimethylsiloxane injections in patients who underwent partial laryngectomy / Bergamini, G.; Alicandri-Ciufelli, M.; Molteni, G.; De Siati, D. R.; Luppi, M. P.; Marchioni, D.; Presutti, L.. - In: HEAD & NECK. - ISSN 1043-3074. - 31:8(2009), pp. 1022-1030. [10.1002/hed.21064]
Bergamini, G.; Alicandri-Ciufelli, M.; Molteni, G.; De Siati, D. R.; Luppi, M. P.; Marchioni, D.; Presutti, L.
File in questo prodotto:
Non ci sono file associati a questo prodotto.
Pubblicazioni consigliate

Licenza Creative Commons
I metadati presenti in IRIS UNIMORE sono rilasciati con licenza Creative Commons CC0 1.0 Universal, mentre i file delle pubblicazioni sono rilasciati con licenza Attribuzione 4.0 Internazionale (CC BY 4.0), salvo diversa indicazione.
In caso di violazione di copyright, contattare Supporto Iris

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11380/1188834
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 20
  • ???jsp.display-item.citation.isi??? 16
social impact