THE CHEST ROENTGENOGRAM FOLLOWING SUPRAGLOTTIC SUBTOTAL LARYNGECTOMY

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Abstract
The chest roentgenograms of 39 patients undergoing subtotal supraglottic laryngectomy were reviewed over a period of 1 to 6 years following surgery. File incidence of emphysema and pneumonia was correlated with the degree of aspiration as seen on postoperative cineroentgenographic studies. Patients with slight aspiration do well clinically and usually show no roentgenographic changes over several years. Marked aspiration led to chronic pneumonia and occasional increasing emphysema; the patients ad a poorer although not necessarily fatal prognosis. The characteristics of a neck dissection on the chest roentgenogram are an apical lucency, altered cervical tissue planes, shoulder drop, and rotation of the scapula.

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