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Injection augmentation of arytenoids after partial laryngectomy: case series

Published online by Cambridge University Press:  27 September 2010

A Ghosh ,
J Guss ,
C E Ruiz ,
H Quon ,
G S Weinstein  and
N Mirza
A Ghosh*
Affiliation:
Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Guss
Affiliation:
Department of Head and Neck Surgery, Permanente Medical Group, Walnut Creek, California, USA
C E Ruiz
Affiliation:
Speech-Language-Hearing Science Programs, La Salle University, Philadelphia, Pennsylvania, USA
H Quon
Affiliation:
Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA Department of Radiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania, USA
G S Weinstein
Affiliation:
Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
N Mirza
Affiliation:
Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
*
Address for correspondence: Dr Ankona Ghosh, Department of Otorhinolaryngology: Head and Neck Surgery, Hospital of The University of Pennsylvania, 5 Silverstein, 3400 Spruce St, Philadelphia, PA 19103, USA Fax: 12156624182 E-mail: ankonag@mail.med.upenn.edu
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Abstract

Background:

We undertook collagen injection laryngoplasty to achieve arytenoid augmentation in patients with dysphagia and persistent aspiration following partial laryngectomy, and we evaluated the efficacy of arytenoid augmentation in aiding neoglottic closure and ensuring airway safety.

Methods:

Two patients with persistent swallowing impairment after partial laryngectomy were studied. Swallowing was evaluated using fibre-optic endoscopy, and modified barium swallow study. Collagen was then injected into the arytenoid mucosa to achieve neoglottic competence.

Results:

The patients were followed up for up to two years. Both patients showed a marked improvement in neoglottic competence, as evaluated by fibre-optic and flexible endoscopy at three-month and one-year follow-up appointments.

Conclusion:

Arytenoid augmentation by injection laryngoplasty can be considered a safe and effective surgical tool for the treatment of dysphagia with persistent aspiration following partial laryngectomy.

Keywords

LaryngectomySwallowingArytenoid CartilageInjection Laryngoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 1 , January 2011 , pp. 65 - 69
Copyright
Copyright © JLO (1984) Limited 2010

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