Dataset Information

Electrical activity of the masseter during swallowing after total laryngectomy.

ABSTRACT:

Unlabelled

Total laryngectomy is a surgical procedure that can change swallowing biomechanics, including muscle activity of the masseter; this muscle stabilizes the mandible.

Aim

To characterize the electrical activity of the masseter muscle during swallowing after total laryngectomy. Series study.

Material and methods

An electromyographic evaluation of swallowing was carried out; three different volumes of water (14.5 ml, 20 ml and 100 ml) were swallowed, and there was a rest condition. The electromyographic signal was normalized by Maximum Resisted Voluntary Activity - considered as 100% of electrical activity of muscles. All other values were calculated as a percentage of this parameter.

Results

There is moderate electrical activity of the masseter during swallowing with higher averages on the left. There was no difference between swallowing 14.5 ml or 20 ml. Natural swallowing of 100ml had the lowest average. Electromyographic signals were recorded at rest on both sides, indicating the existence of electric activity in this situation.

Conclusion

Patients submitted to total laryngectomy present electrical activity of the masseter muscles during swallowing and at rest. This activity is influenced by the volume of swallowed liquid, and showed significant differences among the tasks. Clinical Trials: NCT01095289.

SUBMITTER: Pernambuco Lde A

PROVIDER: S-EPMC9443755 | biostudies-literature | 2011 Sep-Oct

REPOSITORIES: biostudies-literature

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Publications

Electrical activity of the masseter during swallowing after total laryngectomy.

Pernambuco Leandro de Araújo Lde A Silva Hilton Justino da HJ Nascimento Gerlane Karla Bezerra Oliveira GK Silva Elthon Gomes Fernandes da EG Balata Patrícia Maria Mendes PM Santos Veridiana da Silva Vda S Leão Jair Carneiro JC

Brazilian journal of otorhinolaryngology 20110901 5

<h4>Unlabelled</h4>Total laryngectomy is a surgical procedure that can change swallowing biomechanics, including muscle activity of the masseter; this muscle stabilizes the mandible.<h4>Aim</h4>To characterize the electrical activity of the masseter muscle during swallowing after total laryngectomy. Series study.<h4>Material and methods</h4>An electromyographic evaluation of swallowing was carried out; three different volumes of water (14.5 ml, 20 ml and 100 ml) were swallowed, and there was a r ...[more]

PMID: 22030975

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Project description:BackgroundTotal laryngectomy (TL) results in permanent functional changes requiring rapid development of complex new skills. A significant portion of this learning happens in the acute post-surgical stage. There is increasing interest in enhanced recovery after surgery (ERAS) protocols in TL; however, implementation has been difficult. COVID-19 has placed significant pressures on acute services, requiring rapid service changes for TL patients.AimsTo understand the acute patient experience of having a TL both before and during COVID-19.Methods & proceduresSemi-structured interviews using a pre-designed topic guide were conducted with 10 people who had undergone a TL within the last 2 years. Participants were recruited by their speech and language therapists using purposive sampling. Braun and Clarke's iterative approach to data collection and thematic analysis was used to generate key themes from the data.Outcomes & resultsThematic analysis identified four main themes: (1) pre-operative information-giving: 'it was just words'; (2) decision-making influences: 'I just wanted them to get it all out and get it over with'; (3) coping with adjustment to the new normal: 'this is part of me now'; and (4) the importance of relationship-building: 'when you've had something like this, you need some care and understanding'.Conclusions & implicationsThe need for an individualized approach to TL intervention which incorporates medical and psycho-social approaches from pre-treatment to acute discharge is vital. ERAS models should be reviewed to shift beyond the medical model alone. Rapid service changes due to COVID-19 did not contribute any major changes to the acute patient-reported experience.What this paper addsWhat is already known on the subject We know that ERAS protocols have the potential to improve patient outcomes following TL. However, the research does not consider anything other than the early oral feeding debate and it has therefore been difficult to implement ERAS protocols in current service models. COVID19 required head and neck cancer services to make quick changes to surgical pathways, with the potential that some ERAS protocols had been adopted inadvertently. In order to understand the impact of this, we need to understand the patient experience following TL both before and during COVID19. What this paper adds to existing knowledge This paper used qualitative interviews to understand the acute patient experience following TL both during and before COVID19. Findings from these interviews highlighted that people were on the most part, well prepared for the functional changes they would experience after surgery. However, people felt there were gaps in service delivery at the pre-treatment and early discharge home period. Overall, the gaps identified were from a more psycho-social need suggesting that future ERAS models of care should consider both medical and psycho-social principles to enhance patient experience and outcome. What are the potential or actual clinical implications of this work? Pre-treatment services provided to people who have a TL could be reviewed to help maximize long-term adjustment to life. Areas which could be reviewed include the method and mode of information delivery. Further work needs to be done in partnership with community services to improve the immediate discharge home experience.

Dataset Information

Electrical activity of the masseter during swallowing after total laryngectomy.

Unlabelled

Aim

Material and methods

Results

Conclusion

Publications

Electrical activity of the masseter during swallowing after total laryngectomy.

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