Airway protection and outcomes after staged versus concurrent bilateral neck dissections with transoral base of tongue cancer resection.
OpenAlex 토픽 ·
Head and Neck Surgical Oncology
Head and Neck Cancer Studies
Tracheal and airway disorders
[OBJECTIVES] To assess airway, safety, and resource utilization outcomes between transoral base of tongue (BOT) surgery with staged versus concurrent bilateral neck dissections (BND).
- 95% CI 0.9-1.8
- 연구 설계 cohort study
APA
Jake J. Lee, Nicholas A. Rapoport, et al. (2024). Airway protection and outcomes after staged versus concurrent bilateral neck dissections with transoral base of tongue cancer resection.. Head & neck, 46(5), 1020-1027. https://doi.org/10.1002/hed.27696
MLA
Jake J. Lee, et al.. "Airway protection and outcomes after staged versus concurrent bilateral neck dissections with transoral base of tongue cancer resection.." Head & neck, vol. 46, no. 5, 2024, pp. 1020-1027.
PMID
38414192
Abstract
[OBJECTIVES] To assess airway, safety, and resource utilization outcomes between transoral base of tongue (BOT) surgery with staged versus concurrent bilateral neck dissections (BND).
[METHODS] A retrospective cohort study of patients with human papilloma virus (HPV)-related BOT cancer who underwent transoral surgery and BND from January 2015 through June 2022 was conducted. Free flap patients were excluded.
[RESULTS] Of 126 patients (46 [37%] staged and 80 [63%] concurrent BND), there were no significant differences in rates of postoperative intubation, tracheostomy, intensive care admission, operative takebacks, gastrostomy, and 30-day readmission. Total operative time (median difference 1.4 [95% CI 0.9-1.8] hours), length of stay (1.0 [1.0-1.0] day), and time between primary surgery and adjuvant therapy initiation (4.0 [0.0-8.0] days) were lower in the concurrent BND cohort.
[CONCLUSION] Concurrent BND alongside transoral BOT resection is safe with similar airway outcomes and lower total operative time, length of stay, and time to adjuvant therapy initiation compared to staged BND.
[METHODS] A retrospective cohort study of patients with human papilloma virus (HPV)-related BOT cancer who underwent transoral surgery and BND from January 2015 through June 2022 was conducted. Free flap patients were excluded.
[RESULTS] Of 126 patients (46 [37%] staged and 80 [63%] concurrent BND), there were no significant differences in rates of postoperative intubation, tracheostomy, intensive care admission, operative takebacks, gastrostomy, and 30-day readmission. Total operative time (median difference 1.4 [95% CI 0.9-1.8] hours), length of stay (1.0 [1.0-1.0] day), and time between primary surgery and adjuvant therapy initiation (4.0 [0.0-8.0] days) were lower in the concurrent BND cohort.
[CONCLUSION] Concurrent BND alongside transoral BOT resection is safe with similar airway outcomes and lower total operative time, length of stay, and time to adjuvant therapy initiation compared to staged BND.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | free flap
|
피판재건술 | dict | 1 | |
| 해부 | tongue
|
scispacy | 1 | ||
| 해부 | BND
→ bilateral neck dissections
|
scispacy | 1 | ||
| 질환 | tongue cancer
|
C0153349
Malignant neoplasm of tongue
|
scispacy | 1 | |
| 질환 | human papilloma virus (HPV)-related BOT cancer
|
scispacy | 1 | ||
| 질환 | BOT
→ base of tongue
|
scispacy | 1 | ||
| 질환 | BOT cancer
|
scispacy | 1 | ||
| 기타 | Airway
|
scispacy | 1 | ||
| 기타 | bilateral neck dissections
|
scispacy | 1 | ||
| 기타 | human papilloma virus
|
scispacy | 1 |
MeSH Terms
Humans; Tongue Neoplasms; Retrospective Studies; Neck Dissection; Carcinoma, Squamous Cell; Oropharyngeal Neoplasms; Robotic Surgical Procedures
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