术前CT颅面测量和开放式部分水平喉切除术后的功能结果。
Pre-operative CT cephalometry and functional outcomes after open partial horizontal laryngectomy.
发表日期:2023 Apr
作者:
Marco Lionello, Cristina Cercato, Chiara Varago, Leonardo Franz, Saverio Grillone, Gianluca Piccoli, Piero Nicolai, Andy Bertolin
来源:
Bone & Joint Journal
摘要:
确定能预测开放性部分水平喉切除术(OPHL)功能结果的术前放射学参数。本研究回顾性研究了96例行颈部对比增强计算机断层扫描术术前放射学分期,并随后行上环软骨下喉切除或上气管后喉切除的喉鳞状细胞癌患者队列。分别进行单变量和多变量分析,评估主要人口统计学和手术变量以及术前颅面测量值在预测患者功能结果方面的预测价值。多元分析显示,气道消化道中后舌部位前后向横截面尺寸越大,下颌结节与舌骨中线平面距离越大,与患者术后出院后插管撤离率显著相关,且为预测良好功能结果的重要指标。我们的研究结果表明,OPHL术前较大的上气道消化道直径和容积与术后良好的功能结果相一致。版权所有©2023 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale,意大利罗马。
To identify pre-operative radiological parameters that are able to predict the functional outcomes of open partial horizontal laryngectomy (OPHL).The present retrospective study concerned a cohort of 96 patients with laryngeal squamous cell carcinoma who underwent pre-operative radiological staging with contrast-enhanced computerised tomography of the neck, and subsequent supracricoid or supratracheal laryngectomy. Univariate and multivariate analyses were run to assess the prognostic value of the main demographic and surgical variables, and the pre-operative cephalometric values, respectively, in terms of predicting patients' functional outcomes.Multivariate analysis showed that a larger anteroposterior cross-sectional dimension of the aero-digestive tract in the mid-retroglossal area, and a greater distance between the genial tubercle and the hyoid bone in the mid-sagittal plane correlated significantly with better functional outcomes in terms of decannulation rate at discharge.Our findings show that larger pre-operative upper aero-digestive tract diameters and volumes coincide with better post-operative functional outcomes after OPHL.Copyright © 2023 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy.