Dysphagia after total laryngectomy is a common occurrence with multiple accompanying functional deficits and lifestyle changes. Total laryngectomy mediates some degree of swallowing dysfunction in all patients because of the altered swallowing dynamics of the neopharynx. Swallowing function can further be compromised by extent of disease, method of reconstruction, radiation therapy, and postoperative complications. This article reviews the problem of dysphagia after total laryngectomy including etiologic factors, diagnostic considerations, and medical, surgical, and behavioral management of postlaryngectomy dysphagia.
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Sullivan et al. (2001) studied this question.
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