BibTex RIS Kaynak Göster

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

Yıl 2009, Cilt: 19 Sayı: 2, 67 - 70, 12.03.2009

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

Öz

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.

Anahtar Kelimeler

Amylase laryngectomy pharyngocutaneous fistula

Kaynakça

  • 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

Yıl 2009, Cilt: 19 Sayı: 2, 67 - 70, 12.03.2009

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

Öz

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

Anahtar Kelimeler

Amilaz larenjektomi farengokütanöz fistül

Kaynakça

  • 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.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Fikret Kasapoğlu Bu kişi benim

Ömer Afşın Özmen Bu kişi benim

Hamdi Hakan Coşkun Bu kişi benim

Levent Erişen Bu kişi benim

Selçuk Onart Bu kişi benim

Yayımlanma Tarihi 12 Mart 2009
Yayımlandığı Sayı Yıl 2009 Cilt: 19 Sayı: 2

Kaynak Göster

APA Kasapoğlu, F., Özmen, Ö. A., Coşkun, H. H., Erişen, L., vd. (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. Mart 2009;19(2):67-70.
Chicago Kasapoğlu, Fikret, Ömer Afşın Özmen, Hamdi Hakan Coşkun, Levent Erişen, ve 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, sy. 2 (Mart 2009): 67-70.
EndNote Kasapoğlu F, Özmen ÖA, Coşkun HH, Erişen L, Onart S (01 Mart 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, ve S. Onart, “Evaluation of amylase levels in the neck drainage and serum for early diagnosis of the pharyngocutaneous fistula”, Tr-ENT, c. 19, sy. 2, ss. 67–70, 2009.
ISNAD Kasapoğlu, Fikret vd. “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 (Mart 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 vd. “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, c. 19, sy. 2, 2009, ss. 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.