DEGLUTITION AFTER SUPRACRICOID LARYNGECTOMY - COMPENSATORY MECHANISMSAND SEQUELAE

This study is based on the videofluorographic exploration of deglutiti on in 14 patients who were treated by supracricoid laryngectomy. The c hoice of this population rests on two criteria: a 1-year postoperative delay, and absence of residual deglutition disorders elicited by pati ent history, Asymptomatic aspiration was seen in 6 cases, In the crico hyoidoepiglottopexies (CHEF), aspiration occurred uniquely in patients who did not recuperate satisfactorily from epiglottic dynamics, The d eglutition sequelae are less invalidating relative to the cricohyoidop exies (CHP), with a possible recuperation of the dynamic sequence of t he pharyngeal swallow, On the other hand, in the CHP, a complete reorg anization of the stepwise sequence of the different neuromuscular even ts is necessary.