{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:27:53Z","timestamp":1785241673845,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Vertical closure of the pharynx after laryngectomy can result in an outpouch of the anterior wall of the neopharynx below the tongue base, called a pseudo\u2010diverticulum. The prolapsed mucosa that separates the rest of the neopharynx from the pseudo\u2010diverticulum is termed a pseudo\u2010epiglottis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective study of patients with pseudo\u2010epiglottis. M. D. Anderson Dysphagia Inventory (MDADI) scores were used to assess swallowing outcomes pre\u2010 and post\u2010pseudo\u2010epiglottis division, including minimally clinically important difference (MCID) assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 16 patients with a pseudo\u2010epiglottis, 12 had dysphagia (75%). Symptomatic patients had significantly worse global MDADI and subscale scores. After division, the mean composite MDADI increased from 48.3 to 64.7 (<jats:italic>p<\/jats:italic>\u00a0=\u20090.035), including a high MCID (16.4) with a similar improvement in the global question rating findings (31.1 vs. 60, <jats:italic>p<\/jats:italic>\u00a0=\u20090.021). The MCID was significant for all MDADI subscales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pseudo\u2010epiglottis formation is associated with significantly worse global and subscale MDADI scores. A clinically\u2010 and statistically\u2010significant improvement in the MDADI scores was found following surgical division.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27311","type":"journal-article","created":{"date-parts":[[2023,2,22]],"date-time":"2023-02-22T02:49:45Z","timestamp":1677034185000},"page":"952-962","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Swallowing outcomes following division of pseudo\u2010epiglottis resulting from vertical pharyngeal closure in laryngectomy"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2828-2874","authenticated-orcid":false,"given":"Theofano","family":"Tikka","sequence":"first","affiliation":[{"name":"ENT Department Queen Elizabeth University Hospital  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark Andrew","family":"Hall","sequence":"additional","affiliation":[{"name":"Radiology Department Queen Elizabeth University Hospital  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Margaret","family":"de Blieck","sequence":"additional","affiliation":[{"name":"Speech and Language Therapy Department Queen Elizabeth University Hospital  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm Alexander","family":"Buchanan","sequence":"additional","affiliation":[{"name":"ENT Department Queen Elizabeth University Hospital  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,21]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Scott\u2010Brown's Otorhinolaryngology and Head and Neck Surgery","author":"Edels Y","year":"2018"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4424-4"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1962.00740040050003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(96)70158-4"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v121.a94213"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-7071(98)00032-1"},{"key":"e_1_2_8_8_1","article-title":"CO2 laser division of neo\u2010vallecula improves dysphagia in the postlaryngectomy patient: a case series and review of the literature","volume":"2020","author":"Saltagi MZ","year":"2020","journal-title":"Case Rep Otolaryngol"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050198"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25508"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988008800109"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/363640"},{"issue":"7","key":"e_1_2_8_13_1","first-page":"870","article-title":"The development and validation of a dysphagia\u2010specific quality\u2010of\u2010life questionnaire for patients with head and neck cancer: the M. 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