Amplitude and speed of masticatory movements in total laryngectomy patients

Braz J Otorhinolaryngol. 2014 Apr;80(2):138-45. doi: 10.5935/1808-8694.20140029.
[Article in English, Portuguese]

Abstract

Introduction: Laryngectomy is a surgical procedure that aims to remove the hyoid bone and the larynx and its muscles; it is inferred that a destabilization of the hyoid-mandibular axis will occur, consequently changing chewing.

Objective: To characterize the amplitude and speed of chewing in laryngectomies and to compare them with two groups of non-laryngectomized individuals differentiated by age.

Method: 72 volunteers were divided into three groups: (A) 32 volunteers, mean age 22.3 years, 17 females; (B) 20 volunteers, mean age 53.2 years, 10 females, and (C) 20 volunteers who underwent total laryngectomy, mean age 61.5 years, one female. Electrognathography, a method that tracks and measures millimeter jaw movements, was used for evaluation.

Results: Significant differences were observed between groups A and C in masticatory amplitude and speed.

Conclusion: Age, and adaptive and compensatory changes appear to explain chewing better than factors related to total laryngectomy.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Laryngectomy / rehabilitation*
  • Male
  • Mastication / physiology*
  • Middle Aged
  • Movement / physiology
  • Young Adult