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International Bulletin of Otorhinolaryngology

Hemodynamic Responses to Different Methods for Upper Airway Instrumentation in Patients Undergoing Laryngectomies

Ts. Marinov, M. Belitova, T. Popov, J. Rangachev, D. Popova

Abstract

Introduction: Laryngectomy is a surgical procedure for patients with malignancies of the larynx or adjacent anatomical structures. Total laryngectomy is a procedure for complete surgical removal of the larynx. Every surgical intervention with preservation of the physiological speech and swallowing, without the need of permanent tracheostomy, is evaluated as organ preservation laryngeal surgery.
The Aim of the study is to determine the hemodynamic responses to different methods of upper airway instrumentation during the tracheostomy, in patients undergoing laryngectomies.
Materials and Methods: A clinical prospective cohort study including 60 patients undergoing frontolateral resection and 60 patients undergoing total laryngectomy, operated in the Department of Otorhinolaryngology
at the University Hospital „Queen Giovanna“ – ISUL, Sofia, in the period 2012-2015. Patients were divided into three groups according to the used method for upper airway instrumentation during the tracheostomy.
Results and discussion: Patients undergoing frontolateral resection and total laryngectomy have a characteristic hemodynamic response to the used method for upper airway instrumentation.
Conclusion: Upper airway instrumentation during the tracheostomy is a hemodynamic stability defining factor in patients undergoing laryngectomies.

Keywords

Laryngectomies, upper airway instrumentation, hemodynamic stability

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References

Ceachir O, Hainarosie R, Zainea V. Total Laryngectomy – Past, Present, Future. Mжdica. 2014;9(2):210-216.

Timon CI, Gullane PJ, Brown D, Van Nostrand AW. Hyoid bone involvement by squamous cell carcinoma: clinical and pathological features. The Laryngoscope 1992; 102:515-520.

Kirchner JA. Two hundred laryngeal cancers: patterns of growth and spread as seen in serial section. The Laryngoscope 1977; 87:474-482.

Toma M, Nibu K, Nakao K, et al. Partial Laryngectomy to Treat Early Glottic Cancer After Failure of Radiation Therapy. Arch Otolaryngol Head Neck Surg. 2002;128(8):909-912.

Marioni G, Marchese-Ragona R, Cartei G et al. Current opinion in diagnosis and treatment of laryngeal carcinoma. Cancer treatment reviews 2006; 32:504-515.

Sadler TW. Head and neck. In: Coryell P, editor. Langman’s medical embryology. Baltimore (MD): Lippincott Williams and Wilkins; 1995. p. 312–46.

Ценев, Ив., Клиникоморфологична риноларингология. Акад. изд. „Проф. Марин Дринов“, София, с. 601-616, 2003 г.

Crosby ET, Cooper RM, Douglas MJ, et al. The unanticipated difficult airway with recommendations for management. Can J Anaesth. 1998;45:757–776.

Henderson JJ, Popat MT, Latto IP, Pearce AC, Difficult Airway Society Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia. 2004;59:675–694.

Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118:251–270.

Petrini F, Accorsi A, Adrario E, et al. Recommendations for airway control and difficult airway management. Minerva Anestesiol. 2005;71:617–657.

Boisson-Bertrand D, Bourgain JL, Camboulives J, et al. Difficult intubation. French Society of Anesthesia and Intensive Care. A collective expertise (French) Ann Fr Anesth Reanim. 1996;15:207–214.

Braun U, Goldmann K, Hempel V, Krier C. Airway management. Guidelines of the German Society of Anesthesiology and Intensive Care. Anaesth Intensivmed 2004; 45: 302-06.

Snyder-Clickett, Suzanne. The use of the laryngeal mask airway with mechanical positive pressure ventilation. AANA journal, 2004, 72.5: 347.

Brimacombe, Joseph R.; Brain, Archie IJ; Berry, Alison M. The laryngeal mask airway: a review and practical guide. WB Saunders Company, 1997.

Bouaggad, Abderrahmane, et al. Anesthesia for a patient with tracheal tumor using laryngeal mask airway. Anesthesia & Analgesia, 2006, 103.1: 258-25.

Mancia, Giuseppe, et al. „2013 Practice guidelines for the management of arterial hypertension of the European Society of Hypertension (ESH) and the European Society of Cardiology (ESC): ESH/ESC Task Force for the Management of Arterial Hypertension.“ Journal of hypertension 31.10 (2013): 1925-1938.




DOI: http://dx.doi.org/10.14748/orl.v14i3.6764

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