후두암 수술 후 연하장애
Dysphagia after Surgery for Laryngeal Cancer
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초록
The swallowing function of individuals who have undergone laryngeal surgery differs from those who have not because of the anatomical separation of the airway from the digestive system. The likelihood, nature, and severity of dysphagia depend on the initial tumor stage and the extent of surgery. Bolus transit is altered by the changes in swallowing pressure caused by the reconstruction of a pharyngo-esophageal segment and the alteration of the pharyngeal musculature after removing the laryngopharyngeal structures. Dysphagia is a common sequela following an organ preservation partial laryngectomy and total laryngectomy surgery. The changes in the perceived swallowing function must be evaluated routinely to help direct clinical decision-making and intervention in these laryngectomy patients.
Abstract
The swallowing function of individuals who have undergone laryngeal surgery differs from those who have not because of the anatomical separation of the airway from the digestive system. The likelihood, nature, and severity of dysphagia depend on the initial tumor stage and the extent of surgery. Bolus transit is altered by the changes in swallowing pressure caused by the reconstruction of a pharyngo-esophageal segment and the alteration of the pharyngeal musculature after removing the laryngopharyngeal structures. Dysphagia is a common sequela following an organ preservation partial laryngectomy and total laryngectomy surgery. The changes in the perceived swallowing function must be evaluated routinely to help direct clinical decision-making and intervention in these laryngectomy patients.
참고문헌 (33)
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