[Aspiration pneumonia following various types of partial horizontal laryngectomy].
The authors present a retrospective study of 463 partial horizontal laryngectomy of various types (horizontal supraglottic laryngectomy and its modifications, supracricoid laryngectomy with CHP and CHEP, glottic laryngectomy) performed in the years 1970-1991 in the ENT Clinic of Pomeranian Medical Academy in Szczecin. The aspiration pneumonia in 46 (about 10%) patients was observed as a result of insufficient lower airway protection. In cases of extended supraglottic laryngectomy (including the removal of one arytenoid cartilage and/or one vocal cord) aspiration pneumonia appeared more often (16%) than after classic supraglottic laryngectomy (6%). Reconstruction of elevation of arytenoid cartilage and/or vocal cord and base of tongue its extended resection augmented the efficacy lower airway protection.
Zietek
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Kliniki Otolaryngologii PAM, Szczecinie.
Jaworowska
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Jach
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D001193:Arytenoid Cartilage / Q000601:surgery; D003680:Deglutition Disorders / Q000150:complications*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy; D007830:Larynx / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D011015:Pneumonia, Aspiration / Q000209:etiology*; D012123:Pulmonary Ventilation; D012189:Retrospective Studies; D014059:Tongue / Q000601:surgery; D014827:Vocal Cords / Q000601:surgery
Zachłystowe zapalenie płuc po róznych typach laryngektomii cześciowej poziomej.