Isoprognostic functional CT map for open partial horizontal laryngectomy
Purpose To identify a radiological map of laryngeal subsites whose involvement by the tumor could predict patients’ functional outcomes after open partial horizontal laryngectomy (OPHL). Methods The present retrospective analysis concerned 96 patients with glottic squamous cell carcinoma, who were r...
Gespeichert in:
| Veröffentlicht in: | European archives of oto-rhino-laryngology 2024-06, Vol.281 (6), p.3051-3060 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 3060 |
|---|---|
| container_issue | 6 |
| container_start_page | 3051 |
| container_title | European archives of oto-rhino-laryngology |
| container_volume | 281 |
| creator | Bertolin, Andy Varago, Chiara Salemi, Michelangelo Piccoli, Gianluca Nicolai, Piero Lionello, Marco |
| description | Purpose
To identify a radiological map of laryngeal subsites whose involvement by the tumor could predict patients’ functional outcomes after open partial horizontal laryngectomy (OPHL).
Methods
The present retrospective analysis concerned 96 patients with glottic squamous cell carcinoma, who were radiologically staged with contrast-enhanced neck CT scans before undergoing supracricoid or supratracheal laryngectomy. A radiological map of patients’ functional risk was developed by considering the distribution of functional outcomes in relation to the laryngeal subsites involved. The functional outcomes considered were: (i) decannulation at discharge; (ii) time to removal of the nasogastric feeding tube (NFT); (iii) postoperative complication rate; and (iv) length of hospital stay.
Results
Involvement of the anterior supraglottis was related to a longer need for NFT, and a longer hospital stay (
p
= 0.003, and
p
= 0.003, respectively). Involvement of the posterior glottis negatively affected the time to decannulation, and the likelihood of postoperative complications (
p
= 0.000, and
p
= 0.002, respectively).
Conclusions
Anterior glottic small tumors (without significant subglottic and/or supraglottic extension) are related to the best functional outcomes after OPHL, since the suprahyoid epiglottis and both the arytenoids are likely to be spared. |
| doi_str_mv | 10.1007/s00405-024-08596-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3022575439</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3022575439</sourcerecordid><originalsourceid>FETCH-LOGICAL-c298t-a3741a88c2236b6926b0bd92671fb707e4a9af74eb9b5ec9b5ba78bf92084ee83</originalsourceid><addsrcrecordid>eNp9kE1PwzAMhiMEYmPwBzigHrkE3Hw0yRFNwJAmcRnnKOnS0altStIeyq8nsMGRi23Zr1_ZD0LXOdzlAOI-AjDgGAjDILkq8HSC5jmjDDNBilM0B0UFZkyIGbqIcQ8AnCl6jmZUcs5yTudo9RJ9H_yu83Goy6wau3KofWeabLnJWtNnlQ-Z712X9SYMdeq_-1B_-m5IZWPC1O1cOfh2ukRnlWmiuzrmBXp7etwsV3j9-vyyfFjjkig5YEMFy42UJSG0sIUihQW7TUnklRUgHDPKVII5qyx3ZQrWCGkrRUAy5yRdoNuDb7r6Y3Rx0G0dS9c0pnN-jJoCIVxwRlWSkoO0DD7G4Crdh7pNN-sc9DdBfSCoE0H9Q1BPaenm6D_a1m3_Vn6RJQE9CGIape-D3vsxJGLxP9svEUh9Zw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3022575439</pqid></control><display><type>article</type><title>Isoprognostic functional CT map for open partial horizontal laryngectomy</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Bertolin, Andy ; Varago, Chiara ; Salemi, Michelangelo ; Piccoli, Gianluca ; Nicolai, Piero ; Lionello, Marco</creator><creatorcontrib>Bertolin, Andy ; Varago, Chiara ; Salemi, Michelangelo ; Piccoli, Gianluca ; Nicolai, Piero ; Lionello, Marco</creatorcontrib><description>Purpose
To identify a radiological map of laryngeal subsites whose involvement by the tumor could predict patients’ functional outcomes after open partial horizontal laryngectomy (OPHL).
Methods
The present retrospective analysis concerned 96 patients with glottic squamous cell carcinoma, who were radiologically staged with contrast-enhanced neck CT scans before undergoing supracricoid or supratracheal laryngectomy. A radiological map of patients’ functional risk was developed by considering the distribution of functional outcomes in relation to the laryngeal subsites involved. The functional outcomes considered were: (i) decannulation at discharge; (ii) time to removal of the nasogastric feeding tube (NFT); (iii) postoperative complication rate; and (iv) length of hospital stay.
Results
Involvement of the anterior supraglottis was related to a longer need for NFT, and a longer hospital stay (
p
= 0.003, and
p
= 0.003, respectively). Involvement of the posterior glottis negatively affected the time to decannulation, and the likelihood of postoperative complications (
p
= 0.000, and
p
= 0.002, respectively).
Conclusions
Anterior glottic small tumors (without significant subglottic and/or supraglottic extension) are related to the best functional outcomes after OPHL, since the suprahyoid epiglottis and both the arytenoids are likely to be spared.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-024-08596-y</identifier><identifier>PMID: 38554153</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Carcinoma, Squamous Cell - diagnostic imaging ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Female ; Glottis - diagnostic imaging ; Glottis - surgery ; Head and Neck Surgery ; Humans ; Laryngeal Neoplasms - diagnostic imaging ; Laryngeal Neoplasms - pathology ; Laryngeal Neoplasms - surgery ; Laryngectomy - methods ; Laryngology ; Length of Stay - statistics & numerical data ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neoplasm Staging ; Neurosurgery ; Otorhinolaryngology ; Postoperative Complications - epidemiology ; Retrospective Studies ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>European archives of oto-rhino-laryngology, 2024-06, Vol.281 (6), p.3051-3060</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c298t-a3741a88c2236b6926b0bd92671fb707e4a9af74eb9b5ec9b5ba78bf92084ee83</cites><orcidid>0000-0002-2454-9618</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-024-08596-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-024-08596-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38554153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bertolin, Andy</creatorcontrib><creatorcontrib>Varago, Chiara</creatorcontrib><creatorcontrib>Salemi, Michelangelo</creatorcontrib><creatorcontrib>Piccoli, Gianluca</creatorcontrib><creatorcontrib>Nicolai, Piero</creatorcontrib><creatorcontrib>Lionello, Marco</creatorcontrib><title>Isoprognostic functional CT map for open partial horizontal laryngectomy</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Purpose
To identify a radiological map of laryngeal subsites whose involvement by the tumor could predict patients’ functional outcomes after open partial horizontal laryngectomy (OPHL).
Methods
The present retrospective analysis concerned 96 patients with glottic squamous cell carcinoma, who were radiologically staged with contrast-enhanced neck CT scans before undergoing supracricoid or supratracheal laryngectomy. A radiological map of patients’ functional risk was developed by considering the distribution of functional outcomes in relation to the laryngeal subsites involved. The functional outcomes considered were: (i) decannulation at discharge; (ii) time to removal of the nasogastric feeding tube (NFT); (iii) postoperative complication rate; and (iv) length of hospital stay.
Results
Involvement of the anterior supraglottis was related to a longer need for NFT, and a longer hospital stay (
p
= 0.003, and
p
= 0.003, respectively). Involvement of the posterior glottis negatively affected the time to decannulation, and the likelihood of postoperative complications (
p
= 0.000, and
p
= 0.002, respectively).
Conclusions
Anterior glottic small tumors (without significant subglottic and/or supraglottic extension) are related to the best functional outcomes after OPHL, since the suprahyoid epiglottis and both the arytenoids are likely to be spared.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Carcinoma, Squamous Cell - diagnostic imaging</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Female</subject><subject>Glottis - diagnostic imaging</subject><subject>Glottis - surgery</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Laryngeal Neoplasms - diagnostic imaging</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Laryngectomy - methods</subject><subject>Laryngology</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Neurosurgery</subject><subject>Otorhinolaryngology</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwzAMhiMEYmPwBzigHrkE3Hw0yRFNwJAmcRnnKOnS0altStIeyq8nsMGRi23Zr1_ZD0LXOdzlAOI-AjDgGAjDILkq8HSC5jmjDDNBilM0B0UFZkyIGbqIcQ8AnCl6jmZUcs5yTudo9RJ9H_yu83Goy6wau3KofWeabLnJWtNnlQ-Z712X9SYMdeq_-1B_-m5IZWPC1O1cOfh2ukRnlWmiuzrmBXp7etwsV3j9-vyyfFjjkig5YEMFy42UJSG0sIUihQW7TUnklRUgHDPKVII5qyx3ZQrWCGkrRUAy5yRdoNuDb7r6Y3Rx0G0dS9c0pnN-jJoCIVxwRlWSkoO0DD7G4Crdh7pNN-sc9DdBfSCoE0H9Q1BPaenm6D_a1m3_Vn6RJQE9CGIape-D3vsxJGLxP9svEUh9Zw</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Bertolin, Andy</creator><creator>Varago, Chiara</creator><creator>Salemi, Michelangelo</creator><creator>Piccoli, Gianluca</creator><creator>Nicolai, Piero</creator><creator>Lionello, Marco</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2454-9618</orcidid></search><sort><creationdate>20240601</creationdate><title>Isoprognostic functional CT map for open partial horizontal laryngectomy</title><author>Bertolin, Andy ; Varago, Chiara ; Salemi, Michelangelo ; Piccoli, Gianluca ; Nicolai, Piero ; Lionello, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c298t-a3741a88c2236b6926b0bd92671fb707e4a9af74eb9b5ec9b5ba78bf92084ee83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Carcinoma, Squamous Cell - diagnostic imaging</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Female</topic><topic>Glottis - diagnostic imaging</topic><topic>Glottis - surgery</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Laryngeal Neoplasms - diagnostic imaging</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Laryngectomy - methods</topic><topic>Laryngology</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Neurosurgery</topic><topic>Otorhinolaryngology</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bertolin, Andy</creatorcontrib><creatorcontrib>Varago, Chiara</creatorcontrib><creatorcontrib>Salemi, Michelangelo</creatorcontrib><creatorcontrib>Piccoli, Gianluca</creatorcontrib><creatorcontrib>Nicolai, Piero</creatorcontrib><creatorcontrib>Lionello, Marco</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bertolin, Andy</au><au>Varago, Chiara</au><au>Salemi, Michelangelo</au><au>Piccoli, Gianluca</au><au>Nicolai, Piero</au><au>Lionello, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isoprognostic functional CT map for open partial horizontal laryngectomy</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>281</volume><issue>6</issue><spage>3051</spage><epage>3060</epage><pages>3051-3060</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Purpose
To identify a radiological map of laryngeal subsites whose involvement by the tumor could predict patients’ functional outcomes after open partial horizontal laryngectomy (OPHL).
Methods
The present retrospective analysis concerned 96 patients with glottic squamous cell carcinoma, who were radiologically staged with contrast-enhanced neck CT scans before undergoing supracricoid or supratracheal laryngectomy. A radiological map of patients’ functional risk was developed by considering the distribution of functional outcomes in relation to the laryngeal subsites involved. The functional outcomes considered were: (i) decannulation at discharge; (ii) time to removal of the nasogastric feeding tube (NFT); (iii) postoperative complication rate; and (iv) length of hospital stay.
Results
Involvement of the anterior supraglottis was related to a longer need for NFT, and a longer hospital stay (
p
= 0.003, and
p
= 0.003, respectively). Involvement of the posterior glottis negatively affected the time to decannulation, and the likelihood of postoperative complications (
p
= 0.000, and
p
= 0.002, respectively).
Conclusions
Anterior glottic small tumors (without significant subglottic and/or supraglottic extension) are related to the best functional outcomes after OPHL, since the suprahyoid epiglottis and both the arytenoids are likely to be spared.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38554153</pmid><doi>10.1007/s00405-024-08596-y</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-2454-9618</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0937-4477 |
| ispartof | European archives of oto-rhino-laryngology, 2024-06, Vol.281 (6), p.3051-3060 |
| issn | 0937-4477 1434-4726 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3022575439 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Carcinoma, Squamous Cell - diagnostic imaging Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Female Glottis - diagnostic imaging Glottis - surgery Head and Neck Surgery Humans Laryngeal Neoplasms - diagnostic imaging Laryngeal Neoplasms - pathology Laryngeal Neoplasms - surgery Laryngectomy - methods Laryngology Length of Stay - statistics & numerical data Male Medicine Medicine & Public Health Middle Aged Neoplasm Staging Neurosurgery Otorhinolaryngology Postoperative Complications - epidemiology Retrospective Studies Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Isoprognostic functional CT map for open partial horizontal laryngectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T12%3A49%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Isoprognostic%20functional%20CT%20map%20for%20open%20partial%20horizontal%20laryngectomy&rft.jtitle=European%20archives%20of%20oto-rhino-laryngology&rft.au=Bertolin,%20Andy&rft.date=2024-06-01&rft.volume=281&rft.issue=6&rft.spage=3051&rft.epage=3060&rft.pages=3051-3060&rft.issn=0937-4477&rft.eissn=1434-4726&rft_id=info:doi/10.1007/s00405-024-08596-y&rft_dat=%3Cproquest_cross%3E3022575439%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3022575439&rft_id=info:pmid/38554153&rfr_iscdi=true |