Factors that predict postoperative pulmonary complications after supracricoid partial laryngectomy.
OBJECTIVE
To determine the risk factors related to postoperative pulmonary complications in patients who undergo supracricoid partial laryngectomy.


METHODS
Retrospective analysis of medical records.


METHODS
Tertiary care referral center.


METHODS
One hundred eleven patients who underwent supracricoid partial laryngectomy from January 1, 1993, through December 31, 2008.


METHODS
Relationship between postoperative pulmonary complications and perioperative risk factors, such as age, sex, chronic lung disease, smoking status, tumor site, tumor stage, preoperative irradiation, extent of surgery, reconstruction method, and pulmonary function tests.


RESULTS
Thirty-six patients (32.4%) developed postoperative pulmonary complications. Significant correlations were found among age (P = .002), chronic lung disease (P = .005), smoking status (P = .02), and postoperative pulmonary complications. Cricohyoidopexy (P = .008) and ipsilateral arytenoidectomy (P = .03) were associated with postoperative pulmonary complications. The multivariate analysis showed a significant association of the postoperative pulmonary complications with age (odds ratio [OR], 3.8; 95% confidence interval [CI], 1.2-11.7 in patients 60 to 69 years old; and OR, 7.1; 95% CI, 1.3-37.6 in patients 70 to 79 years old) and cricohyoidopexy (OR, 4.4; 95% CI, 1.1-18.1).


CONCLUSIONS
Patients 60 years or older and patients with cricohyoidopexy are at high risk of having postoperative pulmonary complications after supracricoid partial laryngectomy.
Joo
Young-Hoon
YH
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Kangnam St Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Sun
Dong-Il
DI
Cho
Jung-Hae
JH
Cho
Kwang-Jae
KJ
Kim
Min-Sik
MS
D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007723:Korea / Q000453:epidemiology; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000009:adverse effects*; D008171:Lung Diseases / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects*