Assessment of the functioning of patients with dysphagia after total laryngectomy


The aim of the study was to evaluate the functioning of patients with swallowing disorders after total laryngectomy. The study initially included 20 patients who were more than 6 months after total laryngectomy, requiring videofluoroscopy (VFSS) due to reported dysphagia. The final group consisted of 10 people (8 men and 2 women). The examination procedure included conducting an interview, performing a full VFSS examination and completing the MDADI questionnaire by the patient. The most common problems found in the group were the lack of contact of the base of tongue with the posterior wall of the throat, disturbances in bolus formation and pumping movements of the tongue. The patients assessed their quality of life as low. The presence or absence of nasal food regurgitation significantly influenced the functioning of patients. Patients’ reports of swallowing disorders and problems with the production of voice and substitute speech are indications for further diagnosis (e.g. VFSS). The choice of an effective therapeutic method may improve the quality of life of these people.


total laryngectomy; quality of life; VFSS; MDADI

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Published : 2020-10-27

GodlewskaK., JamrózB., Chmielewska-WalczakJ., & MilewskaM. (2020). Assessment of the functioning of patients with dysphagia after total laryngectomy. Logopedia Silesiana, (9), 1-21.

Katarzyna Godlewska 
Medical University of Warsaw  Poland
Barbara Jamróz 
Medical University of Warsaw  Poland
Joanna Chmielewska-Walczak 
Medical University of Warsaw  Poland
Magdalena Milewska 
Medical University of Warsaw  Poland

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