Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma
Objectives: We intended to preserve the internal branch of superior laryngeal nerve in transoral surgery of hypopharyngeal squamous cell carcinoma and observe swallowing function recovery. Methods: 26 patients with hypopharyngeal squamous cell carcinoma underwent transoral surgery with the preservat...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958423000805 |
| _version_ | 1797669974221783040 |
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| author | Shiying Zeng Qinglai Tang Qian Yang Xinming Yang Zian Xiao Ying Zhang Peiying Huang ShiSheng Li |
| author_facet | Shiying Zeng Qinglai Tang Qian Yang Xinming Yang Zian Xiao Ying Zhang Peiying Huang ShiSheng Li |
| author_sort | Shiying Zeng |
| collection | DOAJ |
| description | Objectives: We intended to preserve the internal branch of superior laryngeal nerve in transoral surgery of hypopharyngeal squamous cell carcinoma and observe swallowing function recovery. Methods: 26 patients with hypopharyngeal squamous cell carcinoma underwent transoral surgery with the preservation of internal branch of superior laryngeal nerve. Sensation in the pharyngolaryngeal mucosa was tested by flexible laryngoscope and swallow function was evaluated by water swallow test and MD Anderson Dysphagia Inventory questionnaire after surgery. Results: Surgeries were successfully performed in all patients. The internal branch of superior laryngeal nerve were preserved in all patients. Testing of mucosa sensation revealed the presence of the cough reflex in most patients. The water swallow test showed that 12 cases (46.15%) on the 1st day, 23 cases (88.46%) on the 7th day and 25 cases (96.15%) on the 14th day after operation had normal swallowing function. The mean score of MD Anderson Dysphagia Inventory was 98 on the 14th day after operation. All patients achieved an oral soft diet at a median of 3 days (range, 2–6 days), full normal oral diet at a median of 5.5 days (range, 4–10 days) and removal of the nasogastric tube at a median of 6 days (range, 5–11 days). During the two-year follow-up, 3 patients recured, 1 patient died of lung metastasis. Conclusions: Preserving of the internal branch of superior laryngeal nerve in transoral surgery is feasible, and it can help to achieve a satisfactory recovery of the swallowing function after surgery of hypopharyngeal squamous cell carcinoma. |
| first_indexed | 2024-03-11T20:52:48Z |
| format | Article |
| id | doaj.art-6d80b8265ae748389edf859fee12cb92 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-11T20:52:48Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-6d80b8265ae748389edf859fee12cb922023-10-01T05:57:35ZengElsevierAsian Journal of Surgery1015-95842023-10-01461042454250Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinomaShiying Zeng0Qinglai Tang1Qian Yang2Xinming Yang3Zian Xiao4Ying Zhang5Peiying Huang6ShiSheng Li7Department of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaDepartment of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaCorresponding author. Second Xiangya Hospital of Central-South University, Changsha, China.; Department of Otolaryngology, Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, ChinaObjectives: We intended to preserve the internal branch of superior laryngeal nerve in transoral surgery of hypopharyngeal squamous cell carcinoma and observe swallowing function recovery. Methods: 26 patients with hypopharyngeal squamous cell carcinoma underwent transoral surgery with the preservation of internal branch of superior laryngeal nerve. Sensation in the pharyngolaryngeal mucosa was tested by flexible laryngoscope and swallow function was evaluated by water swallow test and MD Anderson Dysphagia Inventory questionnaire after surgery. Results: Surgeries were successfully performed in all patients. The internal branch of superior laryngeal nerve were preserved in all patients. Testing of mucosa sensation revealed the presence of the cough reflex in most patients. The water swallow test showed that 12 cases (46.15%) on the 1st day, 23 cases (88.46%) on the 7th day and 25 cases (96.15%) on the 14th day after operation had normal swallowing function. The mean score of MD Anderson Dysphagia Inventory was 98 on the 14th day after operation. All patients achieved an oral soft diet at a median of 3 days (range, 2–6 days), full normal oral diet at a median of 5.5 days (range, 4–10 days) and removal of the nasogastric tube at a median of 6 days (range, 5–11 days). During the two-year follow-up, 3 patients recured, 1 patient died of lung metastasis. Conclusions: Preserving of the internal branch of superior laryngeal nerve in transoral surgery is feasible, and it can help to achieve a satisfactory recovery of the swallowing function after surgery of hypopharyngeal squamous cell carcinoma.http://www.sciencedirect.com/science/article/pii/S1015958423000805Hypopharyngeal squamous cell carcinomaInternal branch of superior laryngeal nerveTransoral surgerySwallowing function |
| spellingShingle | Shiying Zeng Qinglai Tang Qian Yang Xinming Yang Zian Xiao Ying Zhang Peiying Huang ShiSheng Li Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma Asian Journal of Surgery Hypopharyngeal squamous cell carcinoma Internal branch of superior laryngeal nerve Transoral surgery Swallowing function |
| title | Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma |
| title_full | Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma |
| title_fullStr | Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma |
| title_full_unstemmed | Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma |
| title_short | Preservation of superior laryngeal nerve in transoral surgery: A technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma |
| title_sort | preservation of superior laryngeal nerve in transoral surgery a technology to enhance the recovery of swallowing function after surgery of hypopharyngeal carcinoma |
| topic | Hypopharyngeal squamous cell carcinoma Internal branch of superior laryngeal nerve Transoral surgery Swallowing function |
| url | http://www.sciencedirect.com/science/article/pii/S1015958423000805 |
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