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Neck muscle mass index as a predictor of post laryngectomy wound complications

Bozkurt, Gulpembe, Elhassan, Hassan, Soydan, Abdullah, Celebi, Irfan, Mcleod, Robert, Soytas, Pinar, Nur Erol, Zeynep and Sozen, Esra 2018. Neck muscle mass index as a predictor of post laryngectomy wound complications. Annals of Otology, Rhinology and Laryngology 127 (11) , pp. 841-847. 10.1177/0003489418798660

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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.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Psychology
Publisher: SAGE Publications
ISSN: 0003-4894
Date of First Compliant Deposit: 29 August 2018
Date of Acceptance: 10 August 2018
Last Modified: 03 Jul 2019 08:42

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