Diagnosis and treatment of oropharyngeal dysphagia after total laryngectomy with or without pharyngoesophageal reconstruction: Systematic review

Lisanne T. Terlingen, Walmari Pilz, Myrthe Kuijer, Bernd Kremer, Laura W. Baijens*

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Background This systematic review qualitatively summarizes the current literature on diagnosis and treatment of oropharyngeal dysphagia (OD) after total laryngectomy (TLE). Methods Electronic databases PubMed, Embase, and the Cochrane Library were used. Two independent reviewers carried out the literature search and assessed the methodological quality of the included studies using a critical appraisal tool. Results Forty-four articles met the inclusion criteria. Of these, 35 studies were on diagnosis, four on therapy, and five on both diagnosis and treatment of OD following TLE. Study aims, swallowing-assessment methods, and main findings of the included studies were summarized and presented. Conclusions The reviewers found heterogeneous outcomes and serious methodological limitations, which prevented us from pooling data to identify trends that would assist in designing best clinical practice protocols for OD following TLE. Further research should focus on several remaining gaps in our knowledge on diagnosis and treatment interventions for OD following TLE.

Original languageEnglish
Pages (from-to)2733-2748
Number of pages16
JournalHead and Neck-Journal for the Sciences and Specialties of the Head and Neck
Volume40
Issue number12
DOIs
Publication statusPublished - Dec 2018

Keywords

  • deglutition disorders
  • dysphagia
  • pharyngolaryngectomy
  • swallowing disorder
  • total laryngectomy
  • QUALITY-OF-LIFE
  • SWALLOWING OUTCOMES
  • NECK-CANCER
  • FUNCTIONAL OUTCOMES
  • CLOSURE TECHNIQUE
  • BOTULINUM TOXIN
  • HEAD
  • SURGERY
  • POSTLARYNGECTOMY
  • PHARYNGEAL

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