Respiratory complications after supracricoid partial laryngectomy
| Autor: | Anne Decotte, Virginie Woisard, Jean-Jacques Pessey, Elie Serrano, Josiane Percodani, Sébastien Vergez |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Reoperation Larynx medicine.medical_specialty medicine.medical_treatment Laryngectomy Cricoid Cartilage Postoperative Complications Tracheotomy Cricoid cartilage otorhinolaryngologic diseases medicine Humans Laryngeal Neoplasms Aged Neoplasm Staging Retrospective Studies business.industry Hyoid bone Neck dissection General Medicine Middle Aged Combined Modality Therapy Laryngeal Obstruction Surgery Airway Obstruction medicine.anatomical_structure Otorhinolaryngology Carcinoma Squamous Cell Neck Dissection Female Radiotherapy Adjuvant Laser Therapy business Laryngeal Stenosis |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 267:1415-1421 |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | The objective of the study was to analyze the incidence, treatment, and prevention of early and late respiratory complications in a series of patients who had supracricoid partial laryngectomies with either cricohyoidoepiglottopexy or cricohyoidopexy. From medical charts, we retrospectively reviewed 101 patients who underwent supracricoid partial laryngectomies, from 1980 to 2006, for laryngeal squamous cell carcinoma, and recorded the various postoperative complications and the time of decannulation. The mortality rate was 3.96%. Early complications included broncho-pulmonary infections and laryngeal stenoses which occurred in 9.9%. Univariate analysis showed a statistically significant relationship between the pulmonary complications and neck dissections (p < 0.04). Later, they were due to laryngeal obstruction (neolaryngeal mucosal flap, residual false vocal cord fold or arytenoid edema). The median decannulation time was 8 days, and there was a significant relationship between the decannulation delay and the pulmonary complications. Only two patients had a later definitive tracheotomy. Respiratory complications after supracricoid partial laryngectomy are frequent, but can be easily managed in most cases. A preoperative pulmonary assessment is necessary to select patients. During surgery, a precise impaction of the hyoid bone with the cricoid cartilage and a repositioning of an arytenoid can avoid some postoperative stenoses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink