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GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

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New approach for the assessment of pulmonary function after total laryngectomy: a prospective study of patients with COPD

Poster Onkologie

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  • Charlotte Schönwald - Klinik III für Innere Medizin, Köln
  • Dirk Beutner - HNO-Klinik der Uniklinik Köln, Köln
  • Roman Pfister - Klinik III für Innere Medizin, Köln
  • corresponding author Guido Michels - Klinik III für Innere Medizin, Köln

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2016;12:Doc049

doi: 10.3205/cpo001400, urn:nbn:de:0183-cpo0014005

Published: April 11, 2016

© 2016 Schönwald et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Abstract

Introduction: Until now there exists no standardized extratracheal devices to conduct the lung function after total laryngectomy. For this reason many pneumologists improvise with various, complex self-made systems.

Methods: The pulmonary function of ten patients with chronic obstructive pulmonary disease (COPD) after laryngectomy were studied. All patients suffered from larynx carcinoma.

Results: In our clinic we established a “base plate adapter [BPA] system” for all patients after laryngectomy. The BPA-device was well tolerated and delivered stable values compared with the ordinary measurement through a mouthpiece. The post-operative pulmonary function has not decreased significantly. All examinations were reproducible.

Conclusion: A standardized, simple and accurate method, like the BPA-based system, for the assessment of pulmonary function in laryngectomies should be used especially for patients with COPD.

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