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Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula

Year 2009, Volume: 19 Issue: 2, 67 - 70, 12.03.2009

Fikret Kasapoğlu Ömer Afşın Özmen Hamdi Hakan Coşkun Levent Erişen Selçuk Onart

Abstract

Objectives: To assess the value of amylase levels in neck drainage and serum for the diagnosis of pharyngocutaneous fistula in the early postoperative period. Patients and Methods: We conducted a prospective study in a tertiary referral setting. Thirty-two patients 31 males, 1 female; mean age 63; range 45 to 75 years who had laryngectomy operation as the primary treatment were studied. Amylase levels in the neck drainage and serum were analyzed in the first three postoperative days. The results were compared between patients who developed pharyngocutaneous fistula and who did not. Results: Serum amylase levels were significantly higher in pharyngocutaneous fistula group, whereas amylase in the neck drainage was not diagnostic. Conclusion: Serum amylase levels may be used in laryngectomy patients for the early diagnosis of pharyngocutaneous fistula.

Keywords

Amylase laryngectomy pharyngocutaneous fistula

References

  • Aydoğan LB, Kiroğlu M, Tuncer U, Soylu L. The wound amylase concentration in the prediction of pharyngocutaneous fistula. Otolaryngol Head Neck Surg 2003;129:414-6.
  • Thawley SE. Complications of combined radiation therapy and surgery for carcinoma of the larynx and inferior hypopharynx. Laryngoscope 1981;91:677-700.
  • Soylu L, Kiroglu M, Aydogan B, Cetik F, Kiroglu F, Akçali C, et al. Pharyngocutaneous fistula following laryngectomy. Head Neck 1998;20:22-5.
  • Fielder CP, Morton RP. Wound amylase estimation and the prediction of pharyngocutaneous fistulae. Clin Otolaryngol Allied Sci 1989;14:101-5.
  • Kasapoğlu F, Erişen L, Coşkun H, Basut O, Tezel I, Hizalan I, et al. The management of pharyngocutane- ous fistulas after total laryngectomy and the factors affecting their incidence. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2003;11:5-10.
  • Krouse JH, Metson R. Barium swallow is a predictor of salivary fistula following laryngectomy. Otolaryngol Head Neck Surg 1992;106:254-7.
  • Moses BL, Eisele DW, Jones B. Radiologic assessment of the early postoperative total-laryngectomy patient. Laryngoscope 1993;103:1157-60.
  • Friedman M, Venkatesan TK, Yakovlev A, Lim JW, Tanyeri HM, Caldarelli DD. Early detection and treat- ment of postoperative pharyngocutaneous fistula. Otolaryngol Head Neck Surg 1999;121:378-80.
  • Newman RK, Weiland FL, Johnson JT, Rosen PR, Gumerman LW. Salivary scan after major ablative head and neck surgery with prediction of postoperative fis- tulization. Ann Otol Rhinol Laryngol 1983;92:366-8.
  • Larsen LR, Schuller DE. Wound amylase levels as an early indicator of orocutaneous fistulae. Laryngoscope 1984;94:1302-6.
  • Papazoglou G, Doundoulakis G, Terzakis G, Dokianakis G. Pharyngocutaneous fistula after total laryngectomy: incidence, cause, and treatment. Ann Otol Rhinol Laryngol 1994;103:801-5.
  • Morton RP, Fielder CP, Dorman EB. Prediction and pre- vention of fistulae after major head and neck surgery: a preliminary report. Aust N Z J Surg 1988;58:951-3.
  • Paydarfar JA, Birkmeyer NJ. Complications in head and neck surgery: a meta-analysis of postlaryngec- tomy pharyngocutaneous fistula. Arch Otolaryngol Head Neck Surg 2006;132:67-72.
  • Horgan EC, Dedo HH. Prevention of major and minor fistulae after laryngectomy. Laryngoscope 1979; 89:250-60.

Farengokütanöz fistülün erken tanısında boyun drenajı ve serumdaki amilaz seviyelerinin değerlendirilmesi

Year 2009, Volume: 19 Issue: 2, 67 - 70, 12.03.2009

Fikret Kasapoğlu Ömer Afşın Özmen Hamdi Hakan Coşkun Levent Erişen Selçuk Onart

Abstract

Amaç: Boyun drenajı ve serumdaki amilaz seviyelerinin belirlenmesiyle, farengokütanöz fistülün erken ameliyat sonrası dönemde saptanabilmesi.Hastalar ve Yöntemler: Üçüncü basamak sağlık hizmeti veren bir merkezde, ileriye yönelik çalışma uyguladık. Primer tedavi olarak larenjektomi uygulanan 32 hasta 31 erkek, 1 kadın; ort. yaş 63; dağılım 45-75 yıl çalışmaya alındı. Boyun drenajı ve serumdaki amilaz seviyeleri, ameliyat sonrası ilk üç günde bakıldı. Farengokütanöz fistül gelişen ve gelişmeyen hastalar arasındaki sonuçlar karşılaştırıldı.Bulgular: Farengokütanöz fistül grubunda, serum amilaz seviyeleri belirgin olarak yüksek olmakla birlikte, boyun drenajında tanısal değildi.Sonuç: Larenjektomili hastalarda serum amilaz seviyeleri, farengokütanöz fistülün erken tanısında kullanılabilir

Keywords

Amilaz larenjektomi farengokütanöz fistül

References

  • Aydoğan LB, Kiroğlu M, Tuncer U, Soylu L. The wound amylase concentration in the prediction of pharyngocutaneous fistula. Otolaryngol Head Neck Surg 2003;129:414-6.
  • Thawley SE. Complications of combined radiation therapy and surgery for carcinoma of the larynx and inferior hypopharynx. Laryngoscope 1981;91:677-700.
  • Soylu L, Kiroglu M, Aydogan B, Cetik F, Kiroglu F, Akçali C, et al. Pharyngocutaneous fistula following laryngectomy. Head Neck 1998;20:22-5.
  • Fielder CP, Morton RP. Wound amylase estimation and the prediction of pharyngocutaneous fistulae. Clin Otolaryngol Allied Sci 1989;14:101-5.
  • Kasapoğlu F, Erişen L, Coşkun H, Basut O, Tezel I, Hizalan I, et al. The management of pharyngocutane- ous fistulas after total laryngectomy and the factors affecting their incidence. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2003;11:5-10.
  • Krouse JH, Metson R. Barium swallow is a predictor of salivary fistula following laryngectomy. Otolaryngol Head Neck Surg 1992;106:254-7.
  • Moses BL, Eisele DW, Jones B. Radiologic assessment of the early postoperative total-laryngectomy patient. Laryngoscope 1993;103:1157-60.
  • Friedman M, Venkatesan TK, Yakovlev A, Lim JW, Tanyeri HM, Caldarelli DD. Early detection and treat- ment of postoperative pharyngocutaneous fistula. Otolaryngol Head Neck Surg 1999;121:378-80.
  • Newman RK, Weiland FL, Johnson JT, Rosen PR, Gumerman LW. Salivary scan after major ablative head and neck surgery with prediction of postoperative fis- tulization. Ann Otol Rhinol Laryngol 1983;92:366-8.
  • Larsen LR, Schuller DE. Wound amylase levels as an early indicator of orocutaneous fistulae. Laryngoscope 1984;94:1302-6.
  • Papazoglou G, Doundoulakis G, Terzakis G, Dokianakis G. Pharyngocutaneous fistula after total laryngectomy: incidence, cause, and treatment. Ann Otol Rhinol Laryngol 1994;103:801-5.
  • Morton RP, Fielder CP, Dorman EB. Prediction and pre- vention of fistulae after major head and neck surgery: a preliminary report. Aust N Z J Surg 1988;58:951-3.
  • Paydarfar JA, Birkmeyer NJ. Complications in head and neck surgery: a meta-analysis of postlaryngec- tomy pharyngocutaneous fistula. Arch Otolaryngol Head Neck Surg 2006;132:67-72.
  • Horgan EC, Dedo HH. Prevention of major and minor fistulae after laryngectomy. Laryngoscope 1979; 89:250-60.
There are 14 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Fikret Kasapoğlu This is me

Ömer Afşın Özmen This is me

Hamdi Hakan Coşkun This is me

Levent Erişen This is me

Selçuk Onart This is me

Publication Date March 12, 2009
Published in Issue Year 2009 Volume: 19 Issue: 2

Cite

APA Kasapoğlu, F., Özmen, Ö. A., Coşkun, H. H., Erişen, L., et al. (2009). Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula. The Turkish Journal of Ear Nose and Throat, 19(2), 67-70.
AMA Kasapoğlu F, Özmen ÖA, Coşkun HH, Erişen L, Onart S. Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula. Tr-ENT. March 2009;19(2):67-70.
Chicago Kasapoğlu, Fikret, Ömer Afşın Özmen, Hamdi Hakan Coşkun, Levent Erişen, and Selçuk Onart. “Evaluation of Amylase Levels in the Neck Drainage and Serum for Early Diagnosis of the Pharyngocutaneous Fistula”. The Turkish Journal of Ear Nose and Throat 19, no. 2 (March 2009): 67-70.
EndNote Kasapoğlu F, Özmen ÖA, Coşkun HH, Erişen L, Onart S (March 1, 2009) Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula. The Turkish Journal of Ear Nose and Throat 19 2 67–70.
IEEE F. Kasapoğlu, Ö. A. Özmen, H. H. Coşkun, L. Erişen, and S. Onart, “Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula”, Tr-ENT, vol. 19, no. 2, pp. 67–70, 2009.
ISNAD Kasapoğlu, Fikret et al. “Evaluation of Amylase Levels in the Neck Drainage and Serum for Early Diagnosis of the Pharyngocutaneous Fistula”. The Turkish Journal of Ear Nose and Throat 19/2 (March 2009), 67-70.
JAMA Kasapoğlu F, Özmen ÖA, Coşkun HH, Erişen L, Onart S. Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula. Tr-ENT. 2009;19:67–70.
MLA Kasapoğlu, Fikret et al. “Evaluation of Amylase Levels in the Neck Drainage and Serum for Early Diagnosis of the Pharyngocutaneous Fistula”. The Turkish Journal of Ear Nose and Throat, vol. 19, no. 2, 2009, pp. 67-70.
Vancouver Kasapoğlu F, Özmen ÖA, Coşkun HH, Erişen L, Onart S. Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula. Tr-ENT. 2009;19(2):67-70.