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Preoperative evaluation for partial laryngectomy.

J M Chow1, R M Block, M Friedman

  • 1Department of Otolaryngology--Head and Neck Surgery, University of Illinois College of Medicine, Chicago.

Head & Neck Surgery
|May 1, 1988
PubMed
Summary
This summary is machine-generated.

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Pulmonary function tests and a history of chronic obstructive pulmonary disease (COPD) do not reliably predict postoperative complications in patients undergoing laryngeal surgery. Preoperative stair-climbing tests assessed suitability for these procedures.

Area of Science:

  • Otolaryngology
  • Pulmonology
  • Surgical Oncology

Background:

  • Conservation laryngeal procedures aim to preserve laryngeal function.
  • Assessing preoperative pulmonary status is crucial for managing potential complications.
  • Chronic obstructive pulmonary disease (COPD) is a known risk factor for pulmonary complications.

Purpose of the Study:

  • To evaluate the necessity of pulmonary function tests (PFTs) in preoperative assessment for conservation laryngeal procedures.
  • To examine pulmonary complications after partial laryngectomies.
  • To correlate PFTs and COPD history with postoperative pulmonary complications.

Main Methods:

  • Ninety-four patients with laryngeal tumors underwent preoperative stair-climbing tests to assess pulmonary function for partial laryngectomy suitability.

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  • PFTs, including vital capacity and forced expiratory volume in 1-second, were performed on 69 patients.
  • Postoperative pulmonary complications were recorded and correlated with preoperative assessments.

    • Main Results:

    • Stair-climbing tests indicated sufficient pulmonary function for partial laryngectomy in all assessed patients.
    • Neither PFTs nor a history of COPD reliably predicted the occurrence of postoperative pulmonary complications.
    • Pulmonary complications were observed, but their prediction based on preoperative evaluations was not feasible.

    Conclusions:

    • Standard pulmonary function tests and a history of COPD are not reliable predictors of postoperative complications in patients undergoing conservation laryngeal surgery.
    • Preoperative stair-climbing may serve as a functional assessment for surgical candidacy.
    • Further research may be needed to identify more accurate predictive markers for pulmonary complications in this patient population.