RESUMO
The authors report the results of radiocinematographic examinations of 98 patients operated on for oral and maxillary neoplasms with analysis of the disturbances of various phases of deglutition in relation to the site and extent of the operation. Leakage into lower respiratory tract is discussed. Extensive operations in the mouth and on the lower and upper jaws were found to cause disturbances of both deglutition phases, and retention of contrast in postoperative tissue defects limitation of the movements of various anatomical structures were the most frequent disturbances of deglutition.
Assuntos
Transtornos de Deglutição/diagnóstico por imagem , Neoplasias Bucais/complicações , Cinerradiografia , Transtornos de Deglutição/etiologia , Humanos , Inalação , Neoplasias Bucais/cirurgiaRESUMO
The experiences with the plastic surgery of pharyngo-oesophageal sphincter during the laryngectomy were presented. The sphincteric forces were studied accordingly to the rehabilitation successes and also the acoustic and perceptive data of the oesophageal speech. The results were compared with these after the classical laryngestomy. It was pointed out that the sphincteroplasty lowered its tension and made the rehabilitation more easier. The oesophageal voice produced in this occasion is better than after the classical laryngectomy. The fundamental frequency is two times higher, the prosody and speech tempo more normal. These positive results were encountered in 76% of cases. However, in some cases the psychological and social difficulties were so great that we preferred the surgical rehabilitation with shunt formation.