Swallowing After Open Partial Horizontal Laryngectomy Type IIa: A Quantitative Videofluoroscopic Analysis Using the Analysis of Swallowing, Physiology, Events, Kinematics, and Timing.
Saved in:
| Title: | Swallowing After Open Partial Horizontal Laryngectomy Type IIa: A Quantitative Videofluoroscopic Analysis Using the Analysis of Swallowing, Physiology, Events, Kinematics, and Timing. |
|---|---|
| Authors: | Barbosa, Raphaela da Costa Miranda1 raphaelamiranda18@gmail.com, de Freitas, Andressa Silva1, Cerqueira, Rayane Beltrão Alves1, Dias, Fernando Luiz1, Mancopes, Renata2, Steele, Catriona M.2,3,4 |
| Source: | Journal of Speech, Language & Hearing Research. Jul2026, Vol. 69 Issue 7, p3049-3063. 15p. |
| Subject Terms: | *Retrospective studies, Pharynx physiology, Cross-sectional method, Research funding, Secondary analysis, T-test (Statistics), Surgery, Patients, Kinematics, Descriptive statistics, Treatment effectiveness, Odds ratio, Surgical complications, Laryngectomy, Medical records, Acquisition of data, Intraclass correlation, Deglutition, Confidence intervals, Data analysis software, Health outcome assessment, Deglutition disorders, Fluoroscopy, Time |
| Geographic Terms: | Brazil |
| Abstract: | Purpose: The purpose of this study was to characterize swallowing physiology on sips of thin liquid in patients following open partial horizontal laryngectomy Type IIa (OPHLIIa) using videofluoroscopic swallow study (VFSS) data, rated using the Analysis of Swallowing Physiology: Events, Kinematics, and Timing (ASPEKT) method. Method: This retrospective study involved secondary analysis of archived data for a cross-sectional sample of 100 patients (94 men, six women; Mage = 67 years) who underwent VFSS after OPHLIIa surgery at the Brazilian National Cancer Institute (mean time postsurgery = 44 months). For each patient, the first available comfortable sip of thin liquid barium was rated using ASPEKT parameters and additional hypopharyngeal area and cricopharyngeal tissue redundancy measures. Ratings were performed by trained speech-language pathologists using ImageJ software. Values were compared to reference data for adults without dysphagia using t tests and odds ratio analysis. Results: After OPHLIIa surgery, patients in this sample exhibited elevated frequencies and significantly increased odds of atypical findings across multiple swallowing parameters. With respect to impaired swallowing safety and efficiency, these included clinically significant Penetration–Aspiration Scale scores (22%), partial/incomplete laryngeal vestibule closure (LVC; 34%), and increased pharyngeal residue, both overall (76%) and by subspace: valleculae (49%), pyriform sinuses (63%), and elsewhere in the pharynx (57%). Other parameters showing significantly increased odds of atypical findings included reduced pharyngeal constriction (98%), reduced hyoid peak position (83%) and speed (59%), a prolonged hyoid-burst-to-upper-esophageal-sphincter-opening interval (45%), and the presence of redundant cricopharyngeal muscle tissue (39%). The analyses highlighted poor hypopharyngeal constriction as a feature of swallowing post-OPHLIIa and revealed apparent compensations in the form of significantly shorter time-to-LVC and prolonged LVC and upper esophageal sphincter opening durations. Conclusions: Swallowing dysfunction following OPHLIIa is marked by structural and physiological changes that impair both swallowing safety and efficiency. These findings high light critical physiological impairments, particularly reduced pharyngeal constriction and compromised airway protection, which should be considered during c linical evaluation and decision making. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: ehh DbLabel: Education Research Complete An: 195295664 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Swallowing After Open Partial Horizontal Laryngectomy Type IIa: A Quantitative Videofluoroscopic Analysis Using the Analysis of Swallowing, Physiology, Events, Kinematics, and Timing. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Barbosa%2C+Raphaela+da+Costa+Miranda%22">Barbosa, Raphaela da Costa Miranda</searchLink><relatesTo>1</relatesTo><i> raphaelamiranda18@gmail.com</i><br /><searchLink fieldCode="AR" term="%22de+Freitas%2C+Andressa+Silva%22">de Freitas, Andressa Silva</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Cerqueira%2C+Rayane+Beltrão+Alves%22">Cerqueira, Rayane Beltrão Alves</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Dias%2C+Fernando+Luiz%22">Dias, Fernando Luiz</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mancopes%2C+Renata%22">Mancopes, Renata</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Steele%2C+Catriona+M%2E%22">Steele, Catriona M.</searchLink><relatesTo>2,3,4</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Jul2026, Vol. 69 Issue 7, p3049-3063. 15p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Pharynx+physiology%22">Pharynx physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink><br /><searchLink fieldCode="DE" term="%22Kinematics%22">Kinematics</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Laryngectomy%22">Laryngectomy</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition%22">Deglutition</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Deglutition+disorders%22">Deglutition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Fluoroscopy%22">Fluoroscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Time%22">Time</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: The purpose of this study was to characterize swallowing physiology on sips of thin liquid in patients following open partial horizontal laryngectomy Type IIa (OPHLIIa) using videofluoroscopic swallow study (VFSS) data, rated using the Analysis of Swallowing Physiology: Events, Kinematics, and Timing (ASPEKT) method. Method: This retrospective study involved secondary analysis of archived data for a cross-sectional sample of 100 patients (94 men, six women; Mage = 67 years) who underwent VFSS after OPHLIIa surgery at the Brazilian National Cancer Institute (mean time postsurgery = 44 months). For each patient, the first available comfortable sip of thin liquid barium was rated using ASPEKT parameters and additional hypopharyngeal area and cricopharyngeal tissue redundancy measures. Ratings were performed by trained speech-language pathologists using ImageJ software. Values were compared to reference data for adults without dysphagia using t tests and odds ratio analysis. Results: After OPHLIIa surgery, patients in this sample exhibited elevated frequencies and significantly increased odds of atypical findings across multiple swallowing parameters. With respect to impaired swallowing safety and efficiency, these included clinically significant Penetration–Aspiration Scale scores (22%), partial/incomplete laryngeal vestibule closure (LVC; 34%), and increased pharyngeal residue, both overall (76%) and by subspace: valleculae (49%), pyriform sinuses (63%), and elsewhere in the pharynx (57%). Other parameters showing significantly increased odds of atypical findings included reduced pharyngeal constriction (98%), reduced hyoid peak position (83%) and speed (59%), a prolonged hyoid-burst-to-upper-esophageal-sphincter-opening interval (45%), and the presence of redundant cricopharyngeal muscle tissue (39%). The analyses highlighted poor hypopharyngeal constriction as a feature of swallowing post-OPHLIIa and revealed apparent compensations in the form of significantly shorter time-to-LVC and prolonged LVC and upper esophageal sphincter opening durations. Conclusions: Swallowing dysfunction following OPHLIIa is marked by structural and physiological changes that impair both swallowing safety and efficiency. These findings high light critical physiological impairments, particularly reduced pharyngeal constriction and compromised airway protection, which should be considered during c linical evaluation and decision making. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=195295664 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1044/2026_JSLHR-25-00521 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 3049 Subjects: – SubjectFull: Retrospective studies Type: general – SubjectFull: Pharynx physiology Type: general – SubjectFull: Cross-sectional method Type: general – SubjectFull: Research funding Type: general – SubjectFull: Secondary analysis Type: general – SubjectFull: T-test (Statistics) Type: general – SubjectFull: Surgery Type: general – SubjectFull: Patients Type: general – SubjectFull: Kinematics Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Odds ratio Type: general – SubjectFull: Surgical complications Type: general – SubjectFull: Laryngectomy Type: general – SubjectFull: Medical records Type: general – SubjectFull: Acquisition of data Type: general – SubjectFull: Intraclass correlation Type: general – SubjectFull: Deglutition Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Health outcome assessment Type: general – SubjectFull: Deglutition disorders Type: general – SubjectFull: Fluoroscopy Type: general – SubjectFull: Time Type: general – SubjectFull: Brazil Type: general Titles: – TitleFull: Swallowing After Open Partial Horizontal Laryngectomy Type IIa: A Quantitative Videofluoroscopic Analysis Using the Analysis of Swallowing, Physiology, Events, Kinematics, and Timing. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Barbosa, Raphaela da Costa Miranda – PersonEntity: Name: NameFull: de Freitas, Andressa Silva – PersonEntity: Name: NameFull: Cerqueira, Rayane Beltrão Alves – PersonEntity: Name: NameFull: Dias, Fernando Luiz – PersonEntity: Name: NameFull: Mancopes, Renata – PersonEntity: Name: NameFull: Steele, Catriona M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 10924388 Numbering: – Type: volume Value: 69 – Type: issue Value: 7 Titles: – TitleFull: Journal of Speech, Language & Hearing Research Type: main |
| ResultId | 1 |
