Spirometry in elderly laryngectomized patients: A feasibility study

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• 作者：Alessandro Izzo^a ; ^{aleizzo85@yahoo.it" class="auth_mail" title="E-mail the corresponding author} ; Fabio Perrotta^a ; ^{perrotta572@msn.com" class="auth_mail" title="E-mail the corresponding author} ; Antonio Cennamo^a ; ^{antonio.cennamo@yahoo.it" class="auth_mail" title="E-mail the corresponding author} ; Francesco Saverio Cerqua^a ; ^{fscerqua@hotmail.it" class="auth_mail" title="E-mail the corresponding author} ; Luca Rinaldi^a ; ^{lucarinaldi@tin.it" class="auth_mail" title="E-mail the corresponding author} ; Antonio Mazzella^b ; ^{antonio.mazzella86@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Edoardo Grella^a ; ^{edoardogrella@unina2.it" class="auth_mail" title="E-mail the corresponding author} ; Carmelindo Tranfa^a ; ^{carmelindotranfa@unina2.it" class="auth_mail" title="E-mail the corresponding author} ; Andrea Bianco^a ; ^{andrea.bianco@unina2.it" class="auth_mail" title="E-mail the corresponding author} ; Francesco Stefanelli^c ; ^{francescostefanelli@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Gennaro Mazzarella^a ; ^{gennaro.mazzarella@unina2.it" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Spirometry ; Laringectomees ; Elderly
• 刊名：International Journal of Surgery
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：33
• 期：supp_S1
• 页码：S4-S8
• 全文大小：934 K

文摘

Laryngeal cancer is the second most common respiratory neoplasm after lung cancer. Laryngectomy is a well established treatment for larynx cancers which involve relevant anatomic alterations. Spirometry is an essential investigation tool for diagnosis and severity of respiratory diseases, difficult to perform in laryngectomees.

Methods

43 consecutive laryngectomized patients were enrolled from July 2014 to March 2015. Patients fulfilling inclusion criteria underwent spirometry at baseline assessment and after two days. During the examination, the spirometer was placed directly on the stoma of the patient, through mouthpiece “Spirometry Filter 74”.

Results

At baseline, 26 eligible laryngectomees correctly performed the spirometry test with mouthpiece adhering to the stoma; 4 patients refused to perform the second spirometry after 2 days. The feasibility of spirometry examination in these patients was 100% despite difficulties in the execution of the test. The Pearson coefficient of reproducibility for FEV1, FVC and Tiffeneau Index was, respectively, 0.98, 0.94 and 0.77.

Discussion

Spirometry in laryngectomee patients is a feasible procedure for assessment of respiratory function; despite technical difficulties in the execution of the test, our results underline the reproducibility and repeatability of the spirometry. In conclusion, when performed within dedicated respiratory pathophysiology unit, spirometry is a reliable tool in the assessment and follow up of laryngectomees.