Neck Muscle Mass Index as a Predictor of Post-Laryngectomy Wound Complications

Author:

Bozkurt Gülpembe1ORCID,Elhassan Hassan Ahmed2,Mahmutoğlu Abdullah Soydan3,Çelebi İrfan4,Mcleod Robert W. J.5,Soytaş Pınar6,Erol Zeynep Nur7,Sözen Esra8

Affiliation:

1. Department of Otorhinolaryngology, Acıbadem University Hospital, Istanbul, Turkey

2. Lewisham University Hospital, London

3. Department of Radiology, Istanbul Education and Research Hospital, Istanbul, Turkey

4. Department of Radiology, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey

5. Department of Otolaryngology, University Hospital of Wales, Cardiff, UK

6. Department of Otorhinolaryngology, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey

7. Department of Otolaryngology, Hopa State Hospital, Artvin, Turkey

8. Department of Otorhinolaryngology, Istanbul Aydın University, Istanbul, Turkey

Abstract

Objective: We investigated the relationship between paravertebral muscle cross-sectional area (PVM CSA) at the third vertebra (C3) level using computerized tomography (CT) neck images and its relationship with complications after total laryngectomy. Design: Retrospective analysis of 60 advanced laryngeal cancer patients who underwent total laryngectomy was performed. The cross-sectional areas of paravertebral neck muscles using neck CT at C3 level images obtained preoperatively were analyzed. Results: A significant difference in PVM CSA between complication and no complication groups, F(1, 53 = 4.319, P = .043), was identified by ANCOVA. There were no significant differences in between-subject effects: T-stage ( F = 1.652, P = .204), body mass index ( F = 0.889, P = .35), albumin ( F = .359, P = .552), age ( F = 1.623 P = .208), and smoking ( F = 4.319, P = .41). Conclusion: The PVM CSA measured at C3 level on pretreatment CT may help identify patients at higher risk of postoperative wound complications after total laryngectomy and who may particularly benefit from preoperative optimization of nutritional status.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology

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