{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:47:52Z","timestamp":1760986072611,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T00:00:00Z","timestamp":1635897600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Supracricoid laryngectomy (SCL CHEP) removes \u223c 70% of the larynx, resulting in structural rearrangement and modification of the swallowing mechanism, promoting chronic dysphagia. One of the consequences of this new physiology is the formation of pharyngeal residues that can increase the possibility of aspiration. The formation of residues after SCL CHEP, its functional consequences, and its influence on quality of life (QOL) is still poorly described in the literature.<\/jats:p><jats:p>\n          Objective\u2003To investigate and compare the association between self-reported QoL and objective assessments of swallowing function in patients undergoing SCL CHEP.<\/jats:p><jats:p>\n          Methods\u2003A cross-sectional study was performed from 2018 to 2020 in a reference service for head and neck surgery in Brazil. A total of 860 swallowing videofluoroscopy images were evaluated using the Penetration and Aspiration Scale (PAS) and Dynamic Imaging Grade of Swallowing Toxicity (DIGEST).<\/jats:p><jats:p>\n          Results\u2003In a group of 86 patients, there was a significant relationship between oncological staging and the global (p\u2009&lt;\u20090.001) and total (p\u2009=\u20090.002) QoL domains. There was a negative correlation between the DIGEST scale and the emotional domain of the QoL protocol (p\u2009=\u20090.045). The swallowing function proved to be relevant for QoL.<\/jats:p><jats:p>\n          Conclusion\u2003The PAS scale did not show any correlation with QoL. The functional performance of swallowing according to the DIGEST scale was coherent with the QOL scores. It is suggested that the residue may be a more relevant aspect for QoL than the aspiration, making DIGEST a promising tool in the assessment of dysphagic patients.<\/jats:p>","DOI":"10.1055\/s-0041-1730306","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T00:03:45Z","timestamp":1635984225000},"page":"e357-e364","source":"Crossref","is-referenced-by-count":3,"title":["DIGEST Scale Predictis More Quality of Life Than PAS: The Residue Influence on Supracricoid Laryngectomy"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8079-4474","authenticated-orcid":false,"given":"Andressa Silva de","family":"Freitas","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Cabe\u00e7a e Pesco\u00e7o, Instituto Nacional do C\u00e2ncer, Minist\u00e9rio da Sa\u00fade, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4546-4063","authenticated-orcid":false,"given":"Guilherme Maia","family":"Zica","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Cabe\u00e7a e Pesco\u00e7o, Instituto Nacional do C\u00e2ncer, Minist\u00e9rio da Sa\u00fade, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0082-6681","authenticated-orcid":false,"given":"Mariana","family":"Salles","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Cabe\u00e7a e Pesco\u00e7o, Instituto Nacional do C\u00e2ncer, Minist\u00e9rio da Sa\u00fade, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0559-6478","authenticated-orcid":false,"given":"Ana Catarina Alves e","family":"Silva","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Cabe\u00e7a e Pesco\u00e7o, Instituto Nacional do C\u00e2ncer, Minist\u00e9rio da Sa\u00fade, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2415-9724","authenticated-orcid":false,"given":"Thiago Huaytalla","family":"Silva","sequence":"additional","affiliation":[{"name":"Departamento de Nutri\u00e7\u00e3o e Diet\u00e9tica, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1000-7436","authenticated-orcid":false,"given":"Fernando Luiz","family":"Dias","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Cabe\u00e7a e Pesco\u00e7o, Instituto Nacional do C\u00e2ncer, Minist\u00e9rio da Sa\u00fade, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6426-2419","authenticated-orcid":false,"given":"Izabella Costa","family":"Santos","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia de Cabe\u00e7a e Pesco\u00e7o, Instituto Nacional do C\u00e2ncer, Minist\u00e9rio da Sa\u00fade, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,3]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"3459","DOI":"10.1007\/s00405-015-3822-3","article-title":"Functional outcomes after supracricoid laryngectomy: what do we not know and what do we need to know?","volume":"273","author":"A Schindler","year":"2016","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref2","first-page":"eAO5390","article-title":"Degluti\u00e7\u00e3o, voz e qualidade de vida de pacientes submetidos \u00e0 laringectomia supratraqueal alargada","volume":"18","author":"G M Zica","year":"2020","journal-title":"Einstein (Sao Paulo)"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1177\/0194599819835189","article-title":"Long-term Swallowing Function, Pulmonary Complications, and Quality of Life after Supracricoid Laryngectomy","volume":"161","author":"D Di Santo","year":"2019","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fonc.2019.00408","article-title":"Limitations and Opportunities in Open Laryngeal Organ Preservation Surgery: Current Role of OPHLs","volume":"9","author":"G Succo","year":"2019","journal-title":"Front Oncol"},{"key":"ref5","first-page":"677","article-title":"Technic of laryngectomy permitting the conservation of respiratory permeability (cricohyoidopexy)","volume":"76","author":"H Majer","year":"1959","journal-title":"Ann Otolaryngol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1177\/000348949009900601","article-title":"Supracricoid laryngectomy with cricohyoidoepiglottopexy: a partial laryngeal procedure for glottic carcinoma","volume":"99","author":"H Laccourreye","year":"1990","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"549","DOI":"10.3390\/cancers11040549","article-title":"Swallowing Safety and Efficiency after Open Partial Horizontal Laryngectomy: A Videofluoroscopic Study","volume":"11","author":"N Pizzorni","year":"2019","journal-title":"Cancers (Basel)"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"E1427","DOI":"10.1002\/hed.24254","article-title":"Long-term functional results after open partial horizontal laryngectomy type IIa and type IIIa: A comparison study","volume":"38","author":"A Schindler","year":"2016","journal-title":"Head Neck"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1007\/s00405-018-4888-5","article-title":"Relationship between swallowing-related quality of life and fiberoptic endoscopic evaluation of swallowing in patients who underwent open partial horizontal laryngectomy","volume":"275","author":"N Pizzorni","year":"2018","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"08","key":"ref10","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1007\/s00066-018-1305-3","article-title":"Socioeconomic status and quality of life in patients with locally advanced head and neck cancer","volume":"194","author":"S Tribius","year":"2018","journal-title":"Strahlenther Onkol"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s00066-015-0824-4","article-title":"Residual deficits in quality of life one year after intensity-modulated radiotherapy for patients with locally advanced head and neck cancer: Results of a prospective study","volume":"191","author":"S Tribius","year":"2015","journal-title":"Strahlenther Onkol"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/BF00417897","article-title":"A penetration-aspiration scale","volume":"11","author":"J C Rosenbek","year":"1996","journal-title":"Dysphagia"},{"issue":"09","key":"ref13","doi-asserted-by":"crossref","first-page":"2143","DOI":"10.1002\/lary.25341","article-title":"Supracricoid laryngectomy and dysphagia: A systematic literature review","volume":"125","author":"M Lips","year":"2015","journal-title":"Laryngoscope"},{"issue":"07","key":"ref14","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1002\/lary.26387","article-title":"Residue influences quality of life independently of penetration and aspiration in head and neck cancer survivors","volume":"127","author":"T K Meyer","year":"2017","journal-title":"Laryngoscope"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1002\/cncr.30283","article-title":"Dynamic Imaging Grade of Swallowing Toxicity (DIGEST): Scale development and validation","volume":"123","author":"K A Hutcheson","year":"2017","journal-title":"Cancer"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1007\/s00455-017-9838-7","article-title":"Rethinking Residue: Determining the Perceptual Continuum of Residue on FEES to Enable Better Measurement","volume":"33","author":"J M Pisegna","year":"2018","journal-title":"Dysphagia"},{"issue":"05","key":"ref17","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1044\/2020_JSLHR-19-00314","article-title":"Measurement of Pharyngeal Residue From Lateral View Videofluoroscopic Images","volume":"63","author":"C M Steele","year":"2020","journal-title":"J Speech Lang Hear Res"},{"issue":"06","key":"ref18","first-page":"395","article-title":"The evaluation and treatment of swallowing disorders. Current Opinion in Otolaryngology","volume":"6","author":"J A Logemann","year":"1998","journal-title":"Head Neck Surg"},{"issue":"07","key":"ref19","first-page":"870","article-title":"The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M. D. Anderson dysphagia inventory","volume":"127","author":"A Y Chen","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s00455-012-9409-x","article-title":"Validation and application of the M.D. Anderson Dysphagia Inventory in patients treated for head and neck cancer in Brazil","volume":"28","author":"R L Guedes","year":"2013","journal-title":"Dysphagia"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"693","DOI":"10.23925\/2176-2724.2019v31i4p693-697","article-title":"Delibera\u00e7\u00f5es cl\u00ednicas na atua\u00e7\u00e3o em pacientes com c\u00e2ncer de cabe\u00e7a e pesco\u00e7o: atualidades e desafios na disfagia","volume":"31","author":"G M Zica","year":"2019","journal-title":"Dist\u00farb Comun"},{"issue":"22","key":"ref22","doi-asserted-by":"crossref","first-page":"2570","DOI":"10.1200\/JCO.20.00275","article-title":"Diagnosis and Management of Squamous Cell Carcinoma of Unknown Primary in the Head and Neck: ASCO Guideline","volume":"38","author":"E Maghami","year":"2020","journal-title":"J Clin Oncol"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1177\/0194599811428582","article-title":"Analysis of swallowing function after supracricoid laryngectomy with cricohyoidopexy","volume":"146","author":"I Topaloglu","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/XEB.0000000000000166","article-title":"Tracheostomy decannulation methods and procedures for assessing readiness for decannulation in adults: a systematic scoping review","volume":"17","author":"J Kutsukutsa","year":"2019","journal-title":"Int J Evid-Based Healthc"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"1941","DOI":"10.1007\/s00520-019-05008-4","article-title":"Clinical and sociodemographic factors that affect the quality of life of survivors of head and neck cancer","volume":"28","author":"L IL Bonzanini","year":"2020","journal-title":"Support Care Cancer"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1730306.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:09:37Z","timestamp":1657843777000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1730306"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,3]]},"references-count":25,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2022,7,14]]},"published-print":{"date-parts":[[2022,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1730306","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"type":"print","value":"1809-9777"},{"type":"electronic","value":"1809-4864"}],"subject":[],"published":{"date-parts":[[2021,11,3]]}}}