ABSTRACT
Objetivo: Se desconoce la incidencia de reflujo laringofaríngeo (RLF) y de reflujo gastroesofágico (RGE) en el postoperatorio reciente de las laringectomías. Nos propusimos evaluar la incidencia y las características del RLF y el RGE en pacientes laringectomizados, mediante pH-metría de dos canales durante las 48 horas posteriores a la cirugía. Material y método: Estudio prospectivo de 50 pacientes mediante la colocación intraoperatoria de una sonda de pH de dos canales, el análisis descriptivo de cuatro variables de pH a nivel del sensor proximal y definición del RGE y el RLF. Resultados: La incidencia de RLF en el postoperatorio de los laringectomizados oscila entre el 30 y el 40 % y la de RGE, en el 40 %. Conclusiones: El RLF y el RGE se detectan en un porcentaje elevado de pacientes en el postoperatorio inmediato de las laringectomías
Objective: Little is known about incidence of laryngo-pharyngeal reflux (LPR) and gastroesophageal reflux (GER) in the early postoperatory period of laryngectomy. To evaluate the effect and characteristics of the LPR and GER in laryngectomized patients, by means of double pH-metry during 48 hours after surgery. Material and method: In 50 patients, 48-hour double-probe pH monitoring was performed in postoperative of laringectomy, after a intraoperatory placement. Descriptive analysis of 4 variables of pH to level of the sensor proximal, and definition of the presence of esofagic reflux and LPR. Results: The incidence of LPR in the postoperatory of laringectomy ranges between 30 % and 40 %. A esofagic reflux has been observed in 40 %. Conclusions: A high incidence of LPR and GER in the postoperatory immediate of laryngectomized patients was found
Subject(s)
Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Humans , Hydrogen-Ion Concentration , Gastroesophageal Reflux/etiology , Postoperative Complications , Laryngectomy , Manometry , Laryngeal Neoplasms/surgery , Prospective Studies , IncidenceABSTRACT
OBJECTIVE: Little is known about incidence of laryngo-pharyngeal reflux (LPR) and gastroesophageal reflux (GER) in the early postoperatory period of laryngectomy. To evaluate the effect and characteristics of the LPR and GER in laryngectomized patients, by means of double pH-metry during 48 hours after surgery. MATERIAL AND METHOD: In 50 patients, 48-hour double-probe pH monitoring was performed in postoperative of laringectomy, after a intraoperatory placement. Descriptive analysis of 4 variables of pH to level of the sensor proximal, and definition of the presence of esofagic reflux and LPR. RESULTS: The incidence of LPR in the postoperatory of laringectomy ranges between 30% and 40%. A esofagic reflux has been observed in 40%. CONCLUSIONS: A high incidence of LPR and GER in the postoperatory immediate of laryngectomized patients was found.
Subject(s)
Gastroesophageal Reflux/etiology , Laryngectomy , Postoperative Complications , Adult , Aged , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Clindamycin/therapeutic use , Female , Gastroesophageal Reflux/drug therapy , Gentamicins/therapeutic use , Humans , Hydrogen-Ion Concentration , Male , Middle Aged , Prospective StudiesABSTRACT
Some respiratory troubles on childhood keep, comparatively with the same adult's pathology, certain peculiarities worth to know. This is the case of obstructive sleep apnea syndrome, which can suffer both children and adults, but with important etiopathogenical differences: clinical, and therapeutical between the two ages groups, which we must have in mind. Report of differential considerations between the 2 age-groups that we consider more relevants in this syndrome, that every time is more and more seen in clinical practice.
