{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T10:36:00Z","timestamp":1766486160900,"version":"build-2065373602"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Advanced\u2010stage laryngeal squamous cell carcinoma\u00a0is treated with primary surgery or chemoradiation. We aim to determine if there are differences in postoperative functional oral intake in primary (PL) versus salvage laryngectomees (SL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Patients who underwent laryngectomy between 2011 and 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined demographic, diagnostic, treatment, and swallow function data pre\u2010 and postoperatively. A follow\u2010up survey was distributed to assess current swallow status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred twenty\u2010five patients were included. Preoperatively, 68.8% of patients reported dysphagia. Median functional oral intake score (FOIS) was 4.0 [interquartile range, IQR: 1.0\u20106.75]. The SL group had lower preop FOIS [2.0; IQR: 1.0\u20104.75] that did not reach significance compared to the PL group [4.5; IQR: 1.0\u20107.0] (<jats:italic>P<\/jats:italic>\u2009=\u2009.052). 73.4% of patients had a feeding tube. The PL group was more likely to have the tube removed [odds ratio, OR: 2.4; confidence interval, CI: 1.0\u20105.7]. The SL group was more likely to require feeding tube placement more than 6 months postop [OR: 6.9; CI: 1.65\u201032.6]. SL FOIS scores improved by 3 months postop to 5 (SL \u0394FOIS\u2009=\u20093, <jats:italic>P<\/jats:italic>\u2009=\u2009.0150). PL scores improved to 7 [PL \u0394FOIS\u2009=\u20092, <jats:italic>P<\/jats:italic>\u2009=\u2009.0005] at 12 to 15 months. Sixty\u2010nine patients were contacted for a follow\u2010up survey and 16 completed this survey. 30.4% patients reported dietary restrictions (mean 4.4 years postop).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients undergoing SL appear to obtain similar swallow outcomes compared to PL at 3 to 6 months postlaryngectomy, but plateau. The PL group continues to improve up to 1 year postoperatively. Fifty percent of patients report on\u2010going dysphagia after 5 years.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.813","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T02:54:40Z","timestamp":1716260080000},"page":"756-763","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Functional Oral Intake in Primary Versus Salvage Laryngectomy"],"prefix":"10.1002","volume":"171","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9942-445X","authenticated-orcid":false,"given":"Anna C.","family":"Lawrence","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"King","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6093-9421","authenticated-orcid":false,"given":"Bryan","family":"Renslo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3349-9883","authenticated-orcid":false,"given":"Tuleen","family":"Sawaf","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6866-5605","authenticated-orcid":false,"given":"Omar","family":"Karadaghy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4499-7397","authenticated-orcid":false,"given":"Shannon","family":"Kraft","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Kansas School of Medicine Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"volume-title":"Otolaryngology\u2014An Illustrated History","year":"1990","author":"Weir N","key":"e_1_2_8_2_1"},{"key":"e_1_2_8_3_1","first-page":"343","article-title":"\u00daber die erste durch Th. 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