Gülpembe Bozkurt1, Hassan Ahmed Elhassan2, Abdullah Soydan Mahmutoğlu3, İrfan Çelebi4, Robert W J Mcleod5, Pınar Soytaş6, Zeynep Nur Erol7, Esra Sözen8. 1. 1 Department of Otorhinolaryngology, Acıbadem University Hospital, Istanbul, Turkey. 2. 2 Lewisham University Hospital, London. 3. 3 Department of Radiology, Istanbul Education and Research Hospital, Istanbul, Turkey. 4. 4 Department of Radiology, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey. 5. 5 Department of Otolaryngology, University Hospital of Wales, Cardiff, UK. 6. 6 Department of Otorhinolaryngology, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey. 7. 7 Department of Otolaryngology, Hopa State Hospital, Artvin, Turkey. 8. 8 Department of Otorhinolaryngology, Istanbul Aydın University, Istanbul, Turkey.
Abstract
OBJECTIVE: We investigated the relationship between paravertebral muscle cross-sectional area (PVM CSA) at the third vertebra (C3) level using computerized tomography (CT) neck images and its relationship with complications after total laryngectomy. DESIGN: Retrospective analysis of 60 advanced laryngeal cancer patients who underwent total laryngectomy was performed. The cross-sectional areas of paravertebral neck muscles using neck CT at C3 level images obtained preoperatively were analyzed. RESULTS: A significant difference in PVM CSA between complication and no complication groups, F(1, 53 = 4.319, P = .043), was identified by ANCOVA. There were no significant differences in between-subject effects: T-stage ( F = 1.652, P = .204), body mass index ( F = 0.889, P = .35), albumin ( F = .359, P = .552), age ( F = 1.623 P = .208), and smoking ( F = 4.319, P = .41). CONCLUSION: The PVM CSA measured at C3 level on pretreatment CT may help identify patients at higher risk of postoperative wound complications after total laryngectomy and who may particularly benefit from preoperative optimization of nutritional status.
OBJECTIVE: We investigated the relationship between paravertebral muscle cross-sectional area (PVM CSA) at the third vertebra (C3) level using computerized tomography (CT) neck images and its relationship with complications after total laryngectomy. DESIGN: Retrospective analysis of 60 advanced laryngeal cancerpatients who underwent total laryngectomy was performed. The cross-sectional areas of paravertebral neck muscles using neck CT at C3 level images obtained preoperatively were analyzed. RESULTS: A significant difference in PVM CSA between complication and no complication groups, F(1, 53 = 4.319, P = .043), was identified by ANCOVA. There were no significant differences in between-subject effects: T-stage ( F = 1.652, P = .204), body mass index ( F = 0.889, P = .35), albumin ( F = .359, P = .552), age ( F = 1.623 P = .208), and smoking ( F = 4.319, P = .41). CONCLUSION: The PVM CSA measured at C3 level on pretreatment CT may help identify patients at higher risk of postoperative wound complications after total laryngectomy and who may particularly benefit from preoperative optimization of nutritional status.
Authors: Lucas Stone; Brennan Olson; Alia Mowery; Stephanie Krasnow; Angie Jiang; Ryan Li; Joshua Schindler; Mark K Wax; Peter Andersen; Daniel Marks; Virginie Achim; Daniel Clayburgh Journal: JAMA Otolaryngol Head Neck Surg Date: 2019-07-01 Impact factor: 6.223
Authors: Alexander Joseph Jones; Vincent J Campiti; Mohamedkazim Alwani; Leah J Novinger; Brady Jay Tucker; Andrea Bonetto; Jessica A Yesensky; Michael W Sim; Michael G Moore; Avinash V Mantravadi Journal: Laryngoscope Investig Otolaryngol Date: 2021-01-31
Authors: Yuanyuan Shen; Stef Levolger; Abdallah H A Zaid Al-Kaylani; Maarten Uyttenboogaart; Carlina E van Donkelaar; J Marc C Van Dijk; Alain R Viddeleer; Reinoud P H Bokkers Journal: PLoS One Date: 2022-03-04 Impact factor: 3.240