gms | German Medical Science

87th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

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

04.05. - 07.05.2016, Düsseldorf

Article

Send article

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

Meeting Abstract

Search Medline for

  • 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

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 87. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Düsseldorf, 04.-07.05.2016. Düsseldorf: German Medical Science GMS Publishing House; 2016. Doc16hnod221

doi: 10.3205/16hnod221, urn:nbn:de:0183-16hnod2219

Published: March 30, 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

Text

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.

Der Erstautor gibt keinen Interessenkonflikt an.