Worldwide, multicenter study of peristomal geometry and morphology in laryngectomees and its clinical effects

Autor: Frans J. M. Hilgers, Tjouwke A van Kalkeren, Ana Hebe, Gino Marioni, Eduard B. van der Houwen, Zuriñe Martinez, Mari Anne E Duits, Badr Eldin Mostafa, Philippe Schultz, Bernard F. A. M. van der Laan, Bart Verkerke, Wendy J. Post, Virginie Woisard, Dean Ruske, Georges Lawson
Přispěvatelé: Ear, Nose and Throat, Faculteit Medische Wetenschappen/UMCG, Damage and Repair in Cancer Development and Cancer Treatment (DARE), Man, Biomaterials and Microbes (MBM), Extremities Pain and Disability (EXPAND), ACLC (FGw), Faculteit der Geneeskunde
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Myotomy
Male
medicine.medical_treatment
International Cooperation
Tracheoesophageal fistula
VOICE REHABILITATION
Cohort Studies
tracheoesophageal fistula
MYOTOMY
Postoperative Complications
Speech Production Measurement
Neck Muscles
Sickness Impact Profile
TRACHEOSTOMA VALVE
Voice rehabilitation
laryngectomy
Netherlands
Aged
80 and over
SPEECH
Middle Aged
Prognosis
METIS-283012
Laryngectomy
surgical procedures
operative
Treatment Outcome
Female
peristomal geometry
Adult
medicine.medical_specialty
Voice Quality
TRACHEOESOPHAGEAL
tracheostomy
digestive system
Risk Assessment
PATIENT
Stoma
PROSTHESIS
medicine
LOW-RESISTANCE
Humans
Laryngeal Neoplasms
Aged
ESOPHAGEAL
business.industry
VOCAL REHABILITATION
fungi
Surgical Stomas
medicine.disease
digestive system diseases
Surgery
Otorhinolaryngology
Multicenter study
Multivariate Analysis
Quality of Life
business
Low resistance
Sternocleidomastoid muscle
Zdroj: Head & neck, 33(8), 1184-1190. John Wiley and Sons Inc.
Head and Neck: Journal of the Sciences and Specialties of the Head and Neck, 33(8), 1185-1190. Wiley
Head & neck, 33(8), 1184-1190. Wiley
Head & Neck, 33(8), 1184-1190. John Wiley and Sons Inc.
ISSN: 1097-0347
1043-3074
Popis: BackgroundThe purpose of this study was to improve attachment of automatic tracheostoma valves, the knowledge on tracheostoma geometry, and its clinical influences preferred. This article investigates whether the number of removed trachea rings, incision of the sternocleidomastoid muscles, neck dissection, reconstruction, time after operation, and age have any effect on the (peri)stomal geometry of the patient.Methods(Peri)stomas of 191 patients from 10 institutes worldwide were photographed, measured, and compared.ResultsPaired comparisons between the number of trachea rings removed showed significant differences in horizontal and vertical trachea-opening diameters, but failed to demonstrate an effect in the depth of the stoma. T tests did not demonstrate significant differences in peristomal geometry between the sternocleidomastoid-cleaved and non-cleaved group.ConclusionThe number of removed tracheal rings during laryngectomy does not seem to influence stoma depth. However, this study does not demonstrate that cleaving the sternocleidomastoid muscle (SCM) at the time of a laryngectomy will result in a geometrically flatter stoma.
Databáze: OpenAIRE
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