{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T05:26:01Z","timestamp":1767245161845},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2001,9,5]],"date-time":"2001-09-05T00:00:00Z","timestamp":999648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2001,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The goal of reconstructive laryngectomy addressing glottic carcinoma, as described by Tucker, is twofold: achieve local control and preserve as much as possible the physiological laryngeal function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study consisted of long\u2010term assessment of oncological, deglutitory, and vocal outcome in 34 patients following Tucker's reconstructive laryngectomy. Postoperative follow\u2010up included fiberscopic examination, videoradiography, and voice assessment after speech rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 5\u2010year overall survival rate was 92% \u00b1 5%. Fiberscopic examination and videoradiography contributed to observing and understanding the rehabilitation process and impairment to its progress. Two main compensatory movements were identified: the anticipatory backward movement of the tongue base (50%) and the anticipatory upward laryngeal motion (15%). Both movements occurred simultaneously at the beginning of the pharyngeal stage of the swallow (35%). The median duration prior to tracheostomy tube removal was 14 days. Swallowing of solids resumed on day 9 (median), and liquid intake (water and soup) resumed on day 12 (median). The median duration of hospitalization was 16 days. Following speech rehabilitation, the latest follow\u2010up visit measured as follows: the mean conversational voice intensity at 64 dB (range, 57\u201379 dB); the mean maximum intensity at 87 dB (range, 78\u201396 dB); the minimum intensity at 54 dB (range, 45\u201365 dB); the mean maximum phonation time at 16 seconds (range, 10\u201329 seconds); and the mean phonation quotient at 284 mL\/second (range, 205\u2013341 mL\/second). According to our classification, voice spectral analysis revealed 19 class\u2010III patients, 12 class\u2010II patients, and three class\u2010I patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Tucker's reconstructive laryngectomy is reliable in terms of both the oncological and functional outcome. Fiberscopic examination and videoradiography are two complementary methods for assessing postoperative deglutition. \u00a9 2001 John Wiley &amp; Sons, Inc. Head Neck 23: 871\u2013878, 2001.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.1126","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T20:44:49Z","timestamp":1030308289000},"page":"871-878","source":"Crossref","is-referenced-by-count":17,"title":["Improving the functional outcome of Tucker's reconstructive laryngectomy"],"prefix":"10.1002","volume":"23","author":[{"given":"Georges","family":"Lawson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Jamart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Remacle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2001,9,6]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197904000-00010"},{"key":"e_1_2_1_3_2","first-page":"328","article-title":"Predni a Pateralni rekonstrukcni laryngektomie se stazenimepiglottis","volume":"14","author":"Sedlacek K","year":"1965","journal-title":"Ceskoslovenska Otolaryngologie"},{"key":"e_1_2_1_4_2","first-page":"205","article-title":"La laryngectomie frontale ant\u00e9rieure reconstructive: r\u00e9sultats \u00e0 long terme dans les T2 du plan glottique","volume":"112","author":"Zanaret M","year":"1995","journal-title":"Ann Otolaryngol Chir Cervicofac"},{"key":"e_1_2_1_5_2","first-page":"25","article-title":"Analyse objective de la voix par l'appareillage EVA apr\u00e8s laryngectomie de Tucker","volume":"28","author":"Giovanni A","year":"1995","journal-title":"Rev Soc Fr ORL"},{"key":"e_1_2_1_6_2","first-page":"175","article-title":"Surgery: general aspects","volume":"46","author":"Remacle M","year":"1992","journal-title":"Acta Oto\u2010Rhino\u2010Laryngol Belg"},{"key":"e_1_2_1_7_2","first-page":"633","article-title":"Gax\u2010collagen injection to correct aspiration problems after subtotal laryngectomy","volume":"100","author":"Remacle M","year":"1990","journal-title":"Laryngoscope"},{"key":"e_1_2_1_8_2","first-page":"245","article-title":"Techniques de base d'\u00e9valuation de la voix","author":"Dejonckere Ph","year":"1985","journal-title":"Cabay (Ed) Louvain\u2010la\u2010Neuve"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000266108"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1989.01860350075018"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00879268"},{"key":"e_1_2_1_12_2","unstructured":"GuerrierB MauriceN CranpetteL.Arnette edition 2 rue Casimir. 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