| Autor: |
Santana, Anne Flavia Silva Galindo, Caruso, Pedro, Santana, Pauliane Vieira, Porto, Gislaine Cristina Lopes Machado, Kowalski, Luiz Paulo, Vartanian, Jose Guilherme |
| Předmět: |
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| Zdroj: |
European Archives of Oto-Rhino-Laryngology; May2018, Vol. 275 Issue 5, p1227-1234, 8p |
| Abstrakt: |
Background: Inspiratory strength after a neck dissection has not been evaluated, and diaphragm function has not been adequately evaluated.Objective: Evaluate diaphragm mobility and inspiratory strength after neck dissection.Methods: Prospective data collection of a consecutive series of adult patients submitted to neck dissection for head and neck cancer treatment, in a tertiary referral cancer center, from January to September 2014, with 30 days of follow-up. A total of 43 were studied (recruited 56; excluded 13).Main outcome measures: Determine diaphragm mobility and inspiratory muscle strength after neck dissection, using diaphragm ultrasound and by measuring maximal inspiratory pressure (MIP) and sniff nasal inspiratory pressure (SNIP).Results: Thirty patients underwent unilateral neck dissection, and thirteen patients underwent bilateral neck dissection. Diaphragm immobility occurred in 8.9% of diaphragms at risk. For the entire cohort, inspiratory strength decreased immediately after the dissection but returned to preoperative values after 1 month. Except for those with diaphragm immobility, diaphragm mobility remained unchanged after the dissection. One month after the dissection, the diaphragm thickness decreased, indicating diaphragm atrophy.Conclusions: Immediately after a neck dissection, just a few patients showed diaphragmatic immobility, and there was a transient decrease in inspiratory strength in all individuals. Such findings can increase the risk of postoperative complications in patients with previous lung disease. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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