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Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer

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Clinical Care and Rehabilitation in Head and Neck Cancer

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Abstract

Laryngeal cancer and the treatments employed to eradicate it may lead to functional repercussions such as dysphagia. Surgical resection of laryngeal cancer may lead to predictable patterns of dysphagia, while nonsurgical treatments may lead to less predictable outcomes. The assessment and treatment of dysphagia in this population is critical for achieving optimal success. In this chapter, expected dysphagia phenotypes and methods of rehabilitation will be highlighted.

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References

  • Bernal-Sprekelsen, M., Vilaseca-Gonzalez, I., & Blanch-Alejandro, J. L. (2004). Predictive values for aspiration after endoscopic laser resections of malignant tumors of the hypopharynx and larynx. Head & Neck, 26, 103–110.

    Article  Google Scholar 

  • Brehmer, D., & Laubert, A. (1999). Diagnosis of postoperative dysphagia and aspiration. Fiberoptic endoscopic controlled methylene blue drinking. HNO, 47, 479–484.

    Article  CAS  Google Scholar 

  • Burnip, E., Owen, S. J., Barker, S., & Patterson, J. M. (2013). Swallowing outcomes following surgical and non-surgical treatment for advanced laryngeal cancer. The Journal of Laryngology and Otology, 127, 1116–1121.

    Article  CAS  Google Scholar 

  • Carnaby-Mann, G., Crary, M. A., Schmalfus, I., & Amdur, R. (2012). “Pharyngocise”: Randomized control trial of preventative exercises to maintain muscle structure and swallowing function during head and neck chemoradiotherapy. International Journal of Radiation Oncology, Biology, Physics, 83, 210–219.

    Article  Google Scholar 

  • Carroll, W. R., Locher, J. L., Canon, C. L., Bohannon, I. A., McColloch, N. L., & Magnuson, J. S. (2008). Pretreatment swallowing exercises improve swallow function after chemoradiation. Laryngoscope, 118, 39–43.

    Article  Google Scholar 

  • Ceylan, A., Koybasioglu, A., Asal, K., Kizil, Y., & Inal, E. (2003). The effects of pharyngeal neurectomy and cricopharyngeal myotomy on postoperative deglutition in patients undergoing horizontal supraglottic laryngectomy. Kulak Burun Boğaz Ihtisas Dergisi, 11, 170–174.

    PubMed  Google Scholar 

  • Davis, R., Vincent, M., Shapshay, S., & Strong, M. (1982). The anatomy and complications of “T” closure versus vertical closure of the hypopharynx after laryngectomy. Laryngoscope, 92, 16–22.

    Article  CAS  Google Scholar 

  • Doyle P.C. (1994) Foundations of voice and speech rehabilitation following laryngeal cancer. San Diego, CA: Singular.

    Google Scholar 

  • Eisbruch, A., Kim, H. M., Feng, F. Y., Lyden, T. H., Haxer, M. J., … TenHaken, R. K. (2011). Chemo-IMRT of oropharyngeal cancer aiming to reduce dysphagia: Swallowing organs, late complication probabilities, and dosimetric correlates. International Journal of Radiation Oncology, Biology, Physics, 81, e93–e99.

    Article  Google Scholar 

  • Farrag, T. Y., Koch, W. M., Cummings, C. W., Goldenberg, D., Abou-Jaoude, P. M., Califano, J. A., … Tufano, R. P. (2007). Supracricoid laryngectomy outcomes: The Johns Hopkins experience. Laryngoscope, 117, 129–132.

    Article  Google Scholar 

  • Ferlito, A., Silver, C. E., Howard, D. J., Laccourreye, O., Rinaldo, A., & Owen, R. (2000). The role of partial laryngeal resection in current management of laryngeal cancer: A collective review. Acta Oto-Laryngologica, 120, 456–465.

    Article  CAS  Google Scholar 

  • Forastiere, A. A., Goepfert, H., Maor, M., Pajak, T. F., Weber, R., Morrison, W., … Cooper, J. (2003). Concurrent chemotherapy and radiotherapy for organ preservation in advanced laryngeal cancer. The New England Journal of Medicine, 349, 2091–2098.

    Article  CAS  Google Scholar 

  • Forastiere, A. A., Zhang, Q., Weber, R. S., Maor, M. H., Goepfert, H., Pajak, T. F., … Cooper, J. S. (2013). Long-term results of RTOG 91-11: A comparison of three nonsurgical treatment strategies to preserve the larynx in patients with locally advanced larynx cancer. Journal of Clinical Oncology, 31, 845–852.

    Article  CAS  Google Scholar 

  • Frowen, J., Cotton, S., Corry, J., & Perry, A. (2010). Impact of demographics, tumor characteristics, and treatment factors on swallowing after (chemo) radiotherapy for head and neck cancer. Head & Neck, 32, 513–528.

    Google Scholar 

  • Gillespie, M., Brodsky, M. B., Day, T. A., Sharma, A. K., Lee, F., & Martin-Harris, B. (2005). Laryngeal penetration and aspiration during swallowing after the treatment of advanced oropharyngeal cancer. Archives of Otorhinolaryngology Head and Neck Surgery, 131, 615–619.

    Article  Google Scholar 

  • Harris, B. N., Bhuskute, A. A., Rao, S., Farwell, D. G., & Bewley, A. F. (2016). Primary surgery for advanced-stage laryngeal cancer: A stage and sub-site specific survival analysis. Head & Neck, 38, 1380–1386.

    Article  Google Scholar 

  • Hartl, D. M. (2012). Evidence-based practice: Management of glottic cancer. Otolaryngologic Clinics of North America, 45, 1143–1161.

    Article  Google Scholar 

  • Hasan, Z., Dwivedi, R. C., Gunaratne, D. A., Virk, S. K., Palme, C. E., & Riffat, F. (2017). Systematic review and meta-analysis of the complications of salvage total laryngectomy. European Journal of Surgical Oncology, 43, 42–51.

    Article  CAS  Google Scholar 

  • Hoffman, H. T., & Buatti, J. (2004). Update on the management of laryngeal cancer. Current Opinion in Otolaryngology & Head and Neck Surgery, 12, 525–531.

    Google Scholar 

  • Horowitz, J. B., & Sasaki, C. T. (1993). Effect of cricopharyngeus myotomy on postlaryngectomy pharyngeal contraction pressures. Laryngoscope, 103, 138–140.

    Article  CAS  Google Scholar 

  • Howlader, N., Noone, A. M., Krapcho, M., Miller, D., Bishop, K., Altekruse, S. F., … Cronin, K. A. (2016). SEER cancer statistics review, 1975–2013. Bethesda, MD: National Cancer Institute. Retrieved from http://seer.cancer.gov/csr/1975_2013/.

    Google Scholar 

  • Hutcheson, K. A., Bhayani, M. K., Beadle, B. M., Gold, K. A., Shinn, E. H., Lai, S. Y., & Lewin, J. (2013). Eat and exercise during radiotherapy or chemoradiotherapy for pharyngeal cancers. Use it or lose it. JAMA Otolaryngology. Head & Neck Surgery, 139, 1127–1134.

    Article  Google Scholar 

  • Hutcheson, K. A., Lewin, J. S., Barringer, D. A., Lisec, A., Gunn, G. B., Moore, M. W., & Holsinger, F. C. (2012). Late dysphagia after radiotherapy-based treatment of head and neck cancer. Cancer, 118, 5793–5799.

    Article  Google Scholar 

  • Jepsen, M. C., Gurushanthaiah, D., Roy, N., Smith, M. E., Gray, S. D., & Davis, R. K. (2003). Voice, speech, and swallowing outcomes in laser-treated laryngeal cancer. Laryngoscope, 113, 923–928.

    Article  Google Scholar 

  • Jiang, N., Zhang, L. J., Li, L. Y., Zhao, Y., & Eisele, D. W. (2016). Risk factors for late dysphagia after (chemo)radiotherapy for head and neck cancer: A systematic methodological review. Head & Neck, 38, 792–800.

    Article  Google Scholar 

  • Kotz, T., Federman, A. D., Kao, J., Milman, L., Packer, S., Lopez-Prieto, C., … Genden, E. M. (2012). Prophylactic swallowing exercises in patients with head and neck cancer undergoing chemoradiation: A randomized trial. Archives of Otolaryngology – Head & Neck Surgery, 138, 376–382.

    Article  Google Scholar 

  • Langmore, S., Krisciunas, G. P., Miloro, K. V., Evans, S. R., & Cheng, D. M. (2012). Does PEG cause dysphagia in head and neck cancer patients? Dysphagia, 27, 251–259.

    Article  Google Scholar 

  • Langmore, S. E., Schatz, K., & Olsen, N. (1991). Endoscopic and videofluoroscopic evaluations of swallowing and aspiration. The Annals of Otology, Rhinology, and Laryngology, 100, 678–681.

    Article  CAS  Google Scholar 

  • Lazarus, C. L. (2000). Management of swallowing disorders in head and neck cancer patients: Optimal patterns of care. Seminars in Speech and Language, 21, 293–309.

    Article  CAS  Google Scholar 

  • Logemann, J. A. (1997). Evaluation and treatment of swallowing disorders. Austin, TX: Pro Ed.

    Google Scholar 

  • Logemann, J. A., Gibbons, P., Rademaker, A. W., Pauloski, B. R., Kahrilas, P. J., Bacon, M., … McCracken, E. (1994). Mechanisms of recovery of swallow after supraglottic laryngectomy. Journal of Speech and Hearing Research, 37, 965–974.

    Article  CAS  Google Scholar 

  • Logemann, J. A., Rademaker, A. W., Pauloski, B. R., Lazarus, C. L., Mittal, B. B., Brockstein, B., … Liu, D. (2006). Site of disease and treatment protocol as correlates of swallowing function in patients with head and neck cancer treated with chemoradiation. Head & Neck, 28, 64–73.

    Article  Google Scholar 

  • Maclean, J., Cotton, S., & Perry, A. (2009). Dysphagia following a total laryngectomy: The effect on quality of life, functioning, and psychological well-being. Dysphagia, 24, 314–321.

    Article  Google Scholar 

  • McCulloch, T. M., Perlman, A. L., Palmer, P. M., & Van Daele, D. J. (1996). Laryngeal activity during swallow, phonation, and the Valsalva maneuver: And electromyographic analysis. Laryngoscope, 106, 1351–1358.

    Article  CAS  Google Scholar 

  • Mendenhall, W. M., Werning, J. W., Hinerman, R. W., Amdur, R. J., & Villaret, D. B. (2004). Management of T1-T2 glottic carcinomas. Cancer, 100, 1786–1792.

    Article  Google Scholar 

  • Meyers, E. N., & Alvi, A. (1996). Management of carcinoma of the supraglottic larynx: Evolution, current concepts, and future trends. Laryngoscope, 106, 559–567.

    Article  Google Scholar 

  • Nyquist, G. G., Hier, M. P., Dionisopoulos, T., & Black, M. J. (2006). Stricture associated with primary tracheoesophageal puncture after pharyngolaryngectomy and free jejunal interposition. Head & Neck, 28, 205–209.

    Article  Google Scholar 

  • Ohmae, Y., Logemann, J. A., Kaiser, P., Hanson, D. G., & Kahrilas, P. J. (1996). Effects of two breath-holding maneuvers on oropharyngeal swallow. The Annals of Otology, Rhinology, and Laryngology, 105, 123–131.

    Article  CAS  Google Scholar 

  • Paydarfar, J. A., & Birkmeyer, N. J. (2006). Complications in head and neck surgery: A meta-analysis of postlaryngectomy pharyngocutaneous fistula. Archives of Otolaryngology – Head & Neck Surgery, 132, 67–72.

    Article  Google Scholar 

  • Piazza, C., Barbieri, D., Del Bon, F., Grazioli, P., Perotti, P., Paderno, A., … Peretti, G. (2016). Functional outcomes after different types of transoral supraglottic laryngectomy. Laryngoscope, 126, 1131–1135.

    Article  Google Scholar 

  • Rademaker, A. W., Logemann, J. A., Pauloski, B. R., Bowman, J. B., Lazarus, C. L., Sisson, G. A., … Collins, S. L. (1993). Recovery of postoperative swallowing in patients undergoing partial laryngectomy. Head & Neck, 15, 325–334.

    Article  CAS  Google Scholar 

  • Remacle, M., Hantzakos, A., Eckel, H., Evrard, A. S., Bradley, P. J., Chevalier, D., … Werner, J. (2009). Endoscopic supraglottic laryngectomy: A proposal for a classification by the working committee on nomenclature, European Laryngological Society. European Archives of Ororhinolaryngology, 266, 993–998.

    Article  Google Scholar 

  • Sasaki, C. T., Leder, S. B., Acton, L. M., & Maune, S. (2006). Comparison of the glottic closure reflex in traditional “open” versus endoscopic laser supraglottic laryngectomy. The Annals of Otology, Rhinology, and Laryngology, 115, 93–96.

    Article  Google Scholar 

  • Shinn, E. H., Basen-Engquist, K., Baum, G., Steen, S., Bauman, R. F., Morrison, W., … Lewin, J. S. (2013). Adherence to preventative exercises and self-reported swallowing outcomes in post-radiation head and neck cancer patients. Head & Neck, 35, 1707–1712.

    Article  Google Scholar 

  • Siu, J., Tam, S., & Fung, K. (2016). A comparison of outcomes in interventions for unilateral vocal fold paralysis: A systematic review. Laryngoscope, 126, 1616–1624.

    Article  Google Scholar 

  • Smith, B. G., Hutcheson, K. A., Little, L. G., Skoracki, R. J., Rosenthal, D. I., Lai, S. Y., & Lewin, J. S. (2015). Lymphedema outcomes in patients with head and neck cancer. Otolaryngology and Head and Neck Surgery, 152, 284–291.

    Article  Google Scholar 

  • Spriano, G., Antognoni, P., Piantanida, R., Varinelli, D., Luraghi, R., Cerizza, L., & Tordiglione, M. (1997). Conservative management of T1-T2N0 supraglottic cancer: A retrospective study. American Journal of Otolaryngology, 18, 229–305.

    Article  Google Scholar 

  • Starmer, H. M., Gourin, C. G., Lua, L. L., & Burkhead, L. (2011). Pretreatment swallowing assessment in head and neck cancer patients. Head & Neck, 121, 1208–1211.

    Google Scholar 

  • Starmer, H. M., Quon, H., Simpson, M., Webster, K., Tippett, D., Herbert, R. J., … Gourin, C. G. (2015). Speech-language pathology care and short- and long-term outcomes of laryngeal cancer treatment in the elderly. Laryngoscope, 125, 2756–2763.

    Article  Google Scholar 

  • Starmer, H. M., Tippett, D. C., & Webster, K. T. (2008). Effects of laryngeal cancer on voice and swallowing. Otolaryngologic Clinics of North America, 41, 793–818.

    Article  Google Scholar 

  • Stenson, K. M., MacCracken, E., List, M., Haraf, D. J., Brockstein, B., Weichselbaum, R., & Vokes, E. E. (2000). Swallowing function in patients with head and neck cancer prior to treatment. Archives of Otolaryngology – Head & Neck Surgery, 126, 371–377.

    Article  CAS  Google Scholar 

  • Tufano, R. (2002). Organ preservation for laryngeal cancer. Otolaryngologic Clinics of North America, 35, 1067–1080.

    Article  Google Scholar 

  • Vu, K. N., Day, T. A., Gillespie, M. B., Martin-Harris, B., Sinha, D., Stuart, R. K., & Sharma, A. K. (2008). Proximal esophageal stenosis in head and neck cancer patients after total laryngectomy and radiation. ORL Journal Otorhinolaryngol Specialty, 70, 229–235.

    Article  Google Scholar 

  • Wasserman, T., Murry, T., Johnson, J. T., & Myers, E. N. (2001). Management of swallowing in supraglottic and extended supraglottic laryngectomy patients. Head & Neck, 23, 1043–1048.

    Article  CAS  Google Scholar 

  • Weinstein, G. S., El-Sawy, M. M., Ruiz, C., Dooley, P., Chalian, A., El-Sayed, M. M., & Goldberg, A. (2001). Laryngeal preservation with supracricoid partial laryngectomy results in improved quality of life when compared with total laryngectomy. Laryngoscope, 111, 191–199.

    Article  CAS  Google Scholar 

  • Wolf, G., Hong, K., Fisher, S., Hong, W. K., Hillman, R., Spaulding, M., … Henderson, W. G. (1991). Induction chemotherapy plus radiation compared with surgery plus radiation in patients with advanced laryngeal cancer: The Department of Veterans Affairs Laryngeal Cancer Study Group. The New England Journal of Medicine, 324, 1685–1690.

    Article  Google Scholar 

  • Wulff, N. B., Kristensen, C. A., Andersen, E., Charabi, B., Sorensen, C. H., & Homoe, P. (2015). Risk factors for postoperative complications after total laryngectomy following radiotherapy or chemoradiation; a 10-year retrospective longitudinal study in Eastern Denmark. Clinical Otolaryngology, 40, 662–671.

    Article  CAS  Google Scholar 

  • Xu, B., Boero, I. J., Hwang, L., Le, Q. T., Moiseenko, V., Sanghvi, P. R., … Murphy, J. D. (2015). Aspiration pneumonia after concurrent chemoradiotherapy for head and neck cancer. Cancer, 121, 1303–1311.

    Article  Google Scholar 

  • Zacharek, M. A., Pasha, R., Meleca, R. J., Dworkin, J. P., Stachler, R. J., Jacobs, J. R., … Garfield, I. (2001). Functional outcomes after supracricoid laryngectomy. Laryngoscope, 111, 1558–1564.

    Article  CAS  Google Scholar 

  • Zhang, T., Szczeniak, M., Maclean, J., Bertrand, P., Wu, P. I., Omari, T., & Cook, I. J. (2016). Biomechanics of pharyngeal deglutitive function following total laryngectomy. Otolaryngology and Head and Neck Surgery, 155, 295–302.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, Head and Neck Speech and Swallowing Rehabilitation, Stanford Cancer Center, Stanford, CA, USA

    Heather M. Starmer

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  1. Heather M. Starmer
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Correspondence to Heather M. Starmer .

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Editors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery and School of Communication Sciences & Disorders , Western University, London, ON, Canada

    Philip C. Doyle

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Starmer, H.M. (2019). Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer. In: Doyle, P. (eds) Clinical Care and Rehabilitation in Head and Neck Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-04702-3_18

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  • DOI: https://doi.org/10.1007/978-3-030-04702-3_18

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