UNILATERAL ARYTENOIDECTOMY FOR INTRACTABLE ASPIRATION FOLLOWING SUPRACRICOID LARYNGECTOMY: A CASE OF SURGICAL DILEMMA/BIR CERRAHI CELISKI: SUPRAKRIKOID LARENJEKTOMI SONRASI TEDAVIYE DIRENCLI ASPIRASYONUN TEDAVISINDE TEK TARAFLI ARITENOIDEKTOMI

Supracricoid partial laryngectomy (SCPL) is a procedure in which the functions of the larynx are preserved. Swallowing difficulties is the most common functional impairment following SCPL. It has been suggested that sparing the arytenoid cartilages is beneficial for the rapid recovery of the swallowing function after SCPL. In this case report we present a 67-year-old male who underwent SCPL in 2015, in which both arytenoid cartilages were preserved. Following the procedure, the patient had severe aspiration and swallowing problems. In order to save the patient from total laryngectomy a one sided arytenoidectomy was performed successfully. The patient no longer required his gastrostomy tube afer 3 months. Keywords: Supracricoid laryngectomy, swallowing problems, arytenoidectomy Suprakrikoid larenjektomi larenks fonksiyonlarinin korundugu parsiyel larenjektomi metodlarindan biridir. Bu operasyonlari takiben en sik görülen fonksiyonel bozukluk yutma güçlügüdür. Aritenoid kartilajlarin bilateral korunmasinin postoperatif dönemde yutma fonksiyonlarinin çabuk iyilesmesinde faydali oldugu bildirilmektedir. Bu olgu sunumumuzda 2015 yilinda her iki aritenoid kartilajin korundugu suprakrikoid larenjektomi yapilmis bir erkek hastayi sunmaktayiz. Hastanin postoperatif dönemde siddetli aspirasyon ve yutma problemleri olmustur. Hastayi total larenjektomiden kurtarmak için tek tarafli aritenoidektomi denenlmis ve basarili olmustur. Hasta postoperatif 3. ay takibinde gastrostomi tübünden kurtulmustur. Anahtar Kelimeler: Suprakrikoid larenjektomi, yutma problemi, aritenoidektomi