Supracricoid laryngectomy: the impact of senescence on swallowing safety

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Abstract

OBJECTIVE: To investigate the association between aging and the functional aspects of swallowing (laryngeal penetration and laryngotracheal aspiration) in individuals who underwent supracricoid laryngectomy in the late period and without complaints. METHODS: A total of 70 patients, 56 (80%) aged >60 years and 14 (20%) <60 years, under outpatient follow-up, after cancer treatment and with no complaints of swallowing, performed functional evaluation using the swallowing videofluoroscopy. Image classification was performed using the penetration-aspiration scale developed by Rosenbek. The χ2 test and logistic regression were applied to associate the age categories to the outcomes (penetration and aspiration). RESULTS: Patients aged over 60 years had a higher prevalence of penetration (24.29%) and aspiration (48.57%) than patients aged under 60 years. In this sample, aspiration was associated with age. Patients aged over 60 years were more likely to present penetration (27% more) during swallowing than patients under 60 years. Patients aged over 60 years had an approximately four-fold greater probability of laryngotracheal aspiration than patients aged under 60 years. CONCLUSION: In patients without complaints of swallowing in the late postoperative period of supracricoid laryngectomy, there is a greater probability of laryngotracheal aspiration in elderly aged over 60 years than in individuals under 60 years.

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APA

Freitas, A. S. de, Zica, G. M., Silva, A. C. A. E., Dias, F. L., Freitas, E. Q., & Santos, I. C. (2021). Supracricoid laryngectomy: the impact of senescence on swallowing safety. Einstein (Sao Paulo, Brazil), 19, eAO5715. https://doi.org/10.31744/einstein_journal/2021AO5715

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