Factors that predict postoperative pulmonary complications after supracricoid partial laryngectomy

Archives of Otolaryngology--head & Neck Surgery
Young Hoon JooMin-Sik Kim

Abstract

To determine the risk factors related to postoperative pulmonary complications in patients who undergo supracricoid partial laryngectomy. Retrospective analysis of medical records. Tertiary care referral center. One hundred eleven patients who underwent supracricoid partial laryngectomy from January 1, 1993, through December 31, 2008. Relationship between postoperative pulmonary complications and perioperative risk factors, such as age, sex, chronic lung disease, smoking status, tumor site, tumor stage, preoperative irradiation, extent of surgery, reconstruction method, and pulmonary function tests. Thirty-six patients (32.4%) developed postoperative pulmonary complications. Significant correlations were found among age (P = .002), chronic lung disease (P = .005), smoking status (P = .02), and postoperative pulmonary complications. Cricohyoidopexy (P = .008) and ipsilateral arytenoidectomy (P = .03) were associated with postoperative pulmonary complications. The multivariate analysis showed a significant association of the postoperative pulmonary complications with age (odds ratio [OR], 3.8; 95% confidence interval [CI], 1.2-11.7 in patients 60 to 69 years old; and OR, 7.1; 95% CI, 1.3-37.6 in patients 70 to 79 years old) and c...Continue Reading

Citations

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Jan 5, 2022·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Andressa Silva de FreitasGil F Salles

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