Effect of Aging on Long-Term Functional Outcomes After Open Partial Laryngectomy.
aging
dysphagia
laryngeal cancer
partial laryngectomy
phonation
Journal
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
ISSN: 1097-6817
Titre abrégé: Otolaryngol Head Neck Surg
Pays: England
ID NLM: 8508176
Informations de publication
Date de publication:
01 Jul 2024
01 Jul 2024
Historique:
revised:
03
03
2024
received:
01
10
2023
accepted:
22
03
2024
medline:
1
7
2024
pubmed:
1
7
2024
entrez:
1
7
2024
Statut:
aheadofprint
Résumé
Open partial horizontal laryngectomies (OPHLs) represent a comparable alternative to total laryngectomy and nonsurgical protocols in selected cases. While short-term functional outcomes of OPHLs have been widely investigated, few have focused on the effect of aging on residual laryngeal structures. Retrospective cohort study. Tertiary care academic center. Patients who underwent OPHLs after at least 1 year follow-up and optimal functional rehabilitation were included in the study. Swallowing function was assessed according to PAS (Penetration aspiration scale) and Pooling scores. Spectrogram analysis of voice was conducted according to Yanagihara classification and acoustic parameters were also recorded. Subjective questionnaire data about phonation and swallowing were also recorded. Data obtained were compared among patients according to age at time of surgery, evaluation and duration of follow-up. Ninety-seven patients were enrolled with a mean age at surgery and evaluation of 63 and 70 years old, respectively. Median follow-up length was 5 years. OPHL type II was mostly performed. No significant correlation was observed between most of the analyzed variables and patient's age at the time of surgery and at the time of evaluation. Some acoustic parameters were negatively correlated with follow-up length, while Jitter, NHR (Noise-Harmonic Ratio), and Global grade and Roughness were significantly higher in patients >65 years old. Patients who complete rehabilitation reach equally good results as their younger peers with stability over time. Finally, the effects of aging on residual larynx are of minor entity compared to the nonoperated patients. Level IV-retrospective cohort study.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 American Academy of Otolaryngology–Head and Neck Surgery Foundation.
Références
Succo G, Peretti G, Piazza C, et al. Open partial horizontal laryngectomies: a proposal for classification by the working committee on nomenclature of the European Laryngological Society. Eur Arch Otrhinolaryngol. 2014;271:2489‐2496. doi:10.1007/s00405-014-3024-4
Cho KJ, Joo YH, Sun DI, Kim MS. Supracricoid laryngectomy: oncologic validity and functional safety. Eur Arch Otrhinolaryngol. 2010;267:1919‐1925. doi:10.1007/s00405-010-1279-y
Soudry E, Marmor Y, Hazan A, Marx S, Sadov R, Feinmesser R. Supracricoid partial laryngectomy: an alternative to total laryngectomy for locally advanced laryngeal cancers. J Laryngol Otol. 2008;122:1219‐1223. doi:10.1017/S0022215108001862
Mattioli F, Fermi M, Molinari G, et al. pT3 N0 laryngeal squamous cell carcinoma: oncologic outcomes and prognostic factors of surgically treated patients. Laryngoscope. 2021;131:2262‐2268. doi:10.1002/lary.29528
Mattioli F, Serafini E, Lo Manto A, et al. The role of adjuvant therapy in pT4N0 laryngectomized patients: multicentric observational study. Head Neck. 2023;45:197‐206. doi:10.1002/hed.27225
Succo G, Crosetti E, Bertolin A, et al. Benefits and drawbacks of open partial horizontal laryngectomies, part A: early‐ to intermediate‐stage glottic carcinoma. Head Neck. 2016;38:E333‐E340. doi:10.1002/HED
Succo G, Crosetti E, Bertolin A, et al. Benefits and drawbacks of open partial horizontal laryngectomies, part B: Intermediate and selected advanced stage laryngeal carcinoma. Head Neck. 2015:E649‐E657. doi:10.1002/HED
Pinar E, Imre A, Calli C, Oncel S, Katilmis H. Supracricoid partial laryngectomy: analyses of oncologic and functional outcomes. Otolaryngol Head Neck Surg. 2012;147:1093‐1098. doi:10.1177/0194599812457334
Bron L, Brossard E, Monnier P, Pasche P. Supracricoid partial laryngectomy with cricohyoidoepiglottopexy and cricohyoidopexy for glottic and supraglottic carcinomas. Laryngoscope. 2000;110:627‐634.
Gong H, Zhou L, Wu H, et al. Long‐term clinical outcomes of supracricoid partial laryngectomy with cricohyoidoepiglottopexy for glottic carcinoma. Acta Otolaryngol. 2019;139:803‐809.
Rapoport SK, Menier J, Grant N. Voice changes in the elderly. Otolaryngol Clin North Am. 2018;51:759‐768. doi:10.1016/j.otc.2018.03.012
Ramsey T, Guo E, Svider PF, et al. Laryngeal cancer: global socioeconomic trends in disease burden and smoking habits. Laryngoscope. 2018;128:2039‐2053. doi:10.1002/lary.27068
Mattioli F, Fernandez IJ, Bassano E, et al. Surgical rehabilitation of swallowing with polydimethylsiloxane injections after open partial horizontal laryngectomy: long‐term functional results and quality of life. Head Neck. 2021;43:1161‐1173. doi:10.1002/hed.26584
Pizzorni N, Crosetti E, Santambrogio E, et al. The penetration–aspiration scale: adaptation to open partial laryngectomy and reliability analysis. Dysphagia. 2019;35:261‐271. doi:10.1007/s00455-019-10025-w
Farneti D. Pooling score: an endoscopic model for evaluating severity of dysphagia. Acta Otorhinolaryngol Italica. 2008;28:135‐140.
Harmonic OF. The Institute of Laryngology and Voice Disorders, Los Angeles, California; 2017:531‐541.
Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and Validation of the Voice Handicap Index‐10. Laryngoscope. 2004;114:1549‐1556.
Schindler A, Mozzanica F, Brignoli F, et al. Reliability and validity of the Italian self‐evaluation of communication experiences after laryngeal cancer questionnaire. Head Neck. 2013;35:1606‐1615. doi:10.1002/HED
Shindler A, Borghi E, Tiddia C, Ginocchio D, Felisati G, Ottaviani F. Adaptation and validation of the Italian MD Anderson dysphagia inventory (MDADI). Rev Laryngol Otol Rhinol. 2008;129(2):97‐100.
Hashim D, Boffetta P. Head and neck cancers. Occup Cancers. 2020;20:57‐105. doi:10.1007/978-3-030-30766-0_4
Crosetti E, Garofalo P, Bosio C, et al. How the operated larynx ages. Acta Otorhinolaryngol Italica. 2014;34:19‐28.
Naudo P, Laccourreye O, Weinstein G, Jouffre V, Laccourreye H, Brasnu D. Complications and functional outcome after supracricoid partial laryngectomy with cricohyoidoepiglottopexy. Otolaryngol‐Head and Neck Surg. 1993;118:124‐129.
Alajmo E, Fini‐Storchi O, Agostini V, Polli G. Conservation surgery for cancer of the larynx in the elderly. Laryngoscope. 1985;95:203‐205.
Ciufelli MA, Piccinini A, Grammatica A, et al. Voice and swallowing after partial laryngectomy: factors influencing outcome. Head Neck. 2012;35:214‐219. doi:10.1002/HED
Schindler A, Favero E, Capaccio P, Albera R, Cavalot AL, Ottaviani F. Supracricoid laryngectomy: age influence on long‐term functional results. Laryngoscope. 2009;119:1218‐1225. doi:10.1002/lary.20172
Gelibter AJ, Di Segni S, Zeuli M, et al. Old age: biologic versus chronologic. J Clin Oncol. 2007;25:6917.
Joo YH, Sun DI, Cho JH, Cho KJ, Kim MS. Factors that predict postoperative pulmonary complications after supracricoid partial laryngectomy. Arch Otolaryngol Head Neck Surg. 2009;135:1154‐1157.
Webster KT, Samlan RA, Jones B, Bunton K, Tufano RP. Supracricoid partial laryngectomy: swallowing, voice, and speech outcomes. Ann Otol Rhinol Laryngol. 2010;119:10‐16.
Crevier‐Buchman L, Laccourreye O, Weinstein G, Garcia D, Jouffre V, Brasnu D. Evolution of speech and voice following supracricoid partial laryngectomy. J Laryngol Otol. 1995;109:410‐413.
Palmer AD, Graville DJ, Bolognone RK, et al. Longitudinal voice outcomes and neoglottic function after supracricoid partial laryngectomy: the development of a new scale. Ann Otol Rhinol Laryngol. 2022;132:1206‐1215. doi:10.1177/00034894221141518
Serra A, Maiolino L, Di Mauro P, Licciardello L, Cocuzza S. The senile functional evolution of the larynx after supracricoid reconstructive surgery. Eur Arch Otrhinolaryngol. 2016;273:4359‐4368. doi:10.1007/s00405-016-4177-0