Management of Oropharyngeal Dysphagia in Laryngeal and Hypopharyngeal Cancer
Figure 5
Case report 1. Male, 51. Right vocal fold epidermoid carcinoma with impaired mobility extending to the anterior commissure. The patient received a supracricoid laryngectomy with cricohyoidoepiglottopexy. A late 6-month videofluoroscopic control is shown. (a) Postsurgical anatomy at rest. The distance between the hyoid bone and the trachea is reduced while vocal folds are missed. The new laryngeal sphincter is sensibly shorter in the anterior-posterior direction. (b) Chin-to-chest maneuver to start the swallow (notice the contrast in the oral cavity). (c) The swallow is effective. (d) Although there is some residue, the patient shows no aspiration (the swallow is safe).
