Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction
Objectives. A novel J-shaped anterolateral thigh (ALT) flap reconstruction technique was developed to simultaneously restore swallowing and speech functions in patients following total laryngopharyngectomy. This study aimed to assess the outcomes and surgical complications in patients who underwent...
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2024-11-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
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| Online Access: | http://e-ceo.org/upload/pdf/ceo-2024-00109.pdf |
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| author | Yi-An Lu Chung-Kan Tsao Li-Jen Hsin Hsiu-Feng Chuang Tuan-Jen Fang |
| author_facet | Yi-An Lu Chung-Kan Tsao Li-Jen Hsin Hsiu-Feng Chuang Tuan-Jen Fang |
| author_sort | Yi-An Lu |
| collection | DOAJ |
| description | Objectives. A novel J-shaped anterolateral thigh (ALT) flap reconstruction technique was developed to simultaneously restore swallowing and speech functions in patients following total laryngopharyngectomy. This study aimed to assess the outcomes and surgical complications in patients who underwent J-flap reconstruction over time. Methods. Patients who underwent J-shaped ALT flap phonatory tube reconstruction were enrolled. Surgical morbidities and outcomes were evaluated every 3 months post-surgery for a period of 12 months or until death. Results. Of the 36 patients, 13 underwent circumferential pharyngeal wall resection (circumferential defect [CD] group), and 23 underwent partial resection (partial defect [PD] group). After 12 months, 97% of the patients were able to resume oral intake without the need for a nasogastric tube, and 50% achieved fluent speech using the reconstructed phonatory tube. The CD group experienced a higher rate of delayed healing than the PD group (30.8% vs. 0%, p=0.012). Additionally, the PD group showed significantly higher percentages of individuals consuming solid food at both the 3- and 12-month intervals than the CD group (81.0% vs. 23.1% and 78.9% vs. 40%, respectively). Conclusions. This study investigated the progression of speech and swallowing functions over time after reconstruction of the voice tube with a J-flap. Using a J-shaped ALT flap phonatory tube effectively restored both speech and swallowing functions, providing long-term benefits, regardless of whether the defect was circumferential or partial. |
| format | Article |
| id | doaj-art-5c3367f2c2b84757a7c4b5711a01dcfb |
| institution | Kabale University |
| issn | 1976-8710 2005-0720 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj-art-5c3367f2c2b84757a7c4b5711a01dcfb2024-12-06T07:43:26ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202024-11-0117434635410.21053/ceo.2024.00109918Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap ReconstructionYi-An Lu0Chung-Kan Tsao1Li-Jen Hsin2Hsiu-Feng Chuang3Tuan-Jen Fang4 Department of Otolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan School of Medicine, Chang Gung University, Taoyuan, Taiwan Department of Otolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan Department of Otolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan Department of Otolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, TaiwanObjectives. A novel J-shaped anterolateral thigh (ALT) flap reconstruction technique was developed to simultaneously restore swallowing and speech functions in patients following total laryngopharyngectomy. This study aimed to assess the outcomes and surgical complications in patients who underwent J-flap reconstruction over time. Methods. Patients who underwent J-shaped ALT flap phonatory tube reconstruction were enrolled. Surgical morbidities and outcomes were evaluated every 3 months post-surgery for a period of 12 months or until death. Results. Of the 36 patients, 13 underwent circumferential pharyngeal wall resection (circumferential defect [CD] group), and 23 underwent partial resection (partial defect [PD] group). After 12 months, 97% of the patients were able to resume oral intake without the need for a nasogastric tube, and 50% achieved fluent speech using the reconstructed phonatory tube. The CD group experienced a higher rate of delayed healing than the PD group (30.8% vs. 0%, p=0.012). Additionally, the PD group showed significantly higher percentages of individuals consuming solid food at both the 3- and 12-month intervals than the CD group (81.0% vs. 23.1% and 78.9% vs. 40%, respectively). Conclusions. This study investigated the progression of speech and swallowing functions over time after reconstruction of the voice tube with a J-flap. Using a J-shaped ALT flap phonatory tube effectively restored both speech and swallowing functions, providing long-term benefits, regardless of whether the defect was circumferential or partial.http://e-ceo.org/upload/pdf/ceo-2024-00109.pdflaryngopharyngeal neoplasmssurgical flapsspeech disordersswallowing disordersquality of lifelaryngectomyreconstructive surgical procedures |
| spellingShingle | Yi-An Lu Chung-Kan Tsao Li-Jen Hsin Hsiu-Feng Chuang Tuan-Jen Fang Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction Clinical and Experimental Otorhinolaryngology laryngopharyngeal neoplasms surgical flaps speech disorders swallowing disorders quality of life laryngectomy reconstructive surgical procedures |
| title | Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction |
| title_full | Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction |
| title_fullStr | Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction |
| title_full_unstemmed | Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction |
| title_short | Long-Term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction |
| title_sort | long term assessment of speech and swallowing function in laryngopharyngeal cancer patients after j flap reconstruction |
| topic | laryngopharyngeal neoplasms surgical flaps speech disorders swallowing disorders quality of life laryngectomy reconstructive surgical procedures |
| url | http://e-ceo.org/upload/pdf/ceo-2024-00109.pdf |
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