Evaluation of a method for assessing pulmonary function in laryngectomees

Página do item simplificado
dc.contributor.authorCastro, Mario Augusto Ferrari de
dc.contributor.authorDedivitis, Rogério Aparecido [UNIFESP]
dc.contributor.authorMacedo, Alex Gonçalves [UNIFESP]
dc.contributor.institutionFdn Lusiada UNILUS
dc.contributor.institutionAna Costa Hosp
dc.contributor.institutionHosp Heliopolis
dc.contributor.institutionIrmandade Santa Casa da Misericordia Santos
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2018-06-15T12:39:56Z
dc.date.available2018-06-15T12:39:56Z
dc.date.issued2011-08-01
dc.description.abstractIn total laryngectomies the impairment of pulmonary function reflects the sum of pre- and post-operative ventilatory changes. Objective information on the respiratory condition in laryngectomees, as assessed in the pulmonary function laboratory is somewhat limited, perhaps because of difficulties related to methodology. The aim of our study was to evaluate the reproducibility of a method employed to assess the pulmonary function in laryngectomized patients. The experimental extra-tracheal device was set up with a silicone adapter through a cardboard tube to the skin around the tracheostoma. Pulmonary function tests included measurements of forced vital capacity, force expiratory volume at 1 second and Tiffeneau index in 3 consecutive evaluations, in 11 patients who underwent total laryngectomy. The control group comprised 11 patients, not laryngectomized, evaluated by conventional spirometry. Those responsible for evaluating were asked to report possible technical failures and to demonstrate the reproducibility of the curves resulting from the tests. The use of the silicone adapter and skin adhesive provided a complete, airtight seal of the system, in all cases. The presence of the tracheo-oesophageal prosthesis did not negatively affect the test results. All patients attributed a maximum value, both for comfort and acceptance, of the device. The values are comparable in both groups, thus indicating the accuracy of the proposed methodology. All examinations were reproducible. After total laryngectomy, pulmonary function testing, with an extra-tracheal device, is not only reliable but also easy to perform in a routine out-patient setting. The methodology did not present air leaks and was, therefore, well accepted by all patients tested.en
dc.description.affiliationFdn Lusiada UNILUS, Santos, Brazil
dc.description.affiliationAna Costa Hosp, Dept Head & Neck Surg, Santos, Brazil
dc.description.affiliationHosp Heliopolis, Postgrad Course Hlth Sci, Sao Paulo, Brazil
dc.description.affiliationIrmandade Santa Casa da Misericordia Santos, Santos, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Pneumol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Dept Pneumol, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent243-247
dc.identifierhttp://www.actaitalica.it/issues/2011/4-11/08%20Castro-abstract.html
dc.identifier.citationActa Otorhinolaryngologica Italica. Pisa: Pacini Editore, v. 31, n. 4, p. 243-247, 2011.
dc.identifier.fileWOS000298162600008.pdf
dc.identifier.issn0392-100X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/42024
dc.identifier.wosWOS:000298162600008
dc.language.isoeng
dc.publisherPacini Editore
dc.relation.ispartofActa Otorhinolaryngologica Italica
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTotal laryngectomyen
dc.subjectRespiratory function testsen
dc.subjectSpirometryen
dc.subjectTracheotomyen
dc.subjectLaryngeal neoplasmsen
dc.subjectRespirationen
dc.titleEvaluation of a method for assessing pulmonary function in laryngectomeesen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
WOS000298162600008.pdf
Tamanho:
232.92 KB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos