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Evaluation of lung function in patients submitted to total laryngectomy / Avaliação da função pulmonar em pacientes submetidos à laringectomia total

Castro, Mario A; Dedivitis, Rogério A; Salge, João M; Matos, Leandro L; Cernea, Claudio R.
Braz. j. otorhinolaryngol. (Impr.) ; 85(5): 623-627, Sept.-Oct. 2019. tab
Artículo en Inglés | LILACS | ID: biblio-1039293
Abstract

Introduction:

The post-laryngectomy state is characterized by several alterations in lung function. A reliable estimation of lung function can be very useful in laryngectomees to prevent postoperative complications and to evaluate the results of the treatment.

Objective:

Characterize the presence of respiratory functional disorders and the functional pattern of laryngectomees through the use of an extratracheal device.

Methods:

This transversal study included 50 patients submitted to total laryngectomy at least 6 months prior to this investigation, as the treatment of choice for laryngeal cancer.

Results:

56% percent of the participants had altered breathing pattern, distributed as follows 14 with obstructive pattern with no air trapping, 11 with obstructive pattern with air trapping and only 3 with restrictive pattern. On average, the diffusion decreased (74.3%) and airway resistance increased (121.7%) when compared to the expected average values for the Brazilian individuals.

Conclusion:

Most patients submitted to total laryngectomy present altered lung function, usually the obstructive type, frequently associated to a history of smoking.
Biblioteca responsable: BR1.1