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Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media

BACKGROUND AND OBJECTIVES: Some reports propose an increased risk of otitis media and hearing impairment after total laryngectomy. However, the incidence of otitis media following laryngectomy and the mechanism remain unclear. This study aimed to identify the incidence and risk factors of otitis med...

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Autores principales: Jung, Youngrak, Cho, Ara, Yang, Seungjoon, Jeon, Yutae, Bae, Seong Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Audiological Society and Korean Otological Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8755433/
https://www.ncbi.nlm.nih.gov/pubmed/34963275
http://dx.doi.org/10.7874/jao.2021.00549
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author Jung, Youngrak
Cho, Ara
Yang, Seungjoon
Jeon, Yutae
Bae, Seong Hoon
author_facet Jung, Youngrak
Cho, Ara
Yang, Seungjoon
Jeon, Yutae
Bae, Seong Hoon
author_sort Jung, Youngrak
collection PubMed
description BACKGROUND AND OBJECTIVES: Some reports propose an increased risk of otitis media and hearing impairment after total laryngectomy. However, the incidence of otitis media following laryngectomy and the mechanism remain unclear. This study aimed to identify the incidence and risk factors of otitis media after total laryngectomy. SUBJECTS AND METHODS: This retrospective cohort study assessed 77 patients who underwent total laryngectomy from 2010 to 2020 in a tertiary referral center. Serial imaging studies (computed tomography [CT], magnetic resonance imaging, and positron emission tomography-CT) were used to assess otitis media. RESULTS: The study enrolled 58 patients (mean age, 67.0±7.7 years; male, 56 [96.6%]); nine (15.5%) underwent a gastrostomy tube (four preoperatively and five postoperatively). Otitis media was confirmed in seven (12.1%) patients. Gastrostomy tube insertion was the only significant risk factor for otitis media (p=0.012). Of the nine patients who underwent gastrostomy tube insertion, four developed otitis media; all four had the procedure after laryngectomy. CONCLUSIONS: This study found an increased incidence of otitis media after total laryngectomy. Swallowing difficulties likely contribute to otitis media as it occurred more frequently in patients requiring postoperative gastrostomy tube insertion.
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spelling pubmed-87554332022-01-20 Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media Jung, Youngrak Cho, Ara Yang, Seungjoon Jeon, Yutae Bae, Seong Hoon J Audiol Otol Original Article BACKGROUND AND OBJECTIVES: Some reports propose an increased risk of otitis media and hearing impairment after total laryngectomy. However, the incidence of otitis media following laryngectomy and the mechanism remain unclear. This study aimed to identify the incidence and risk factors of otitis media after total laryngectomy. SUBJECTS AND METHODS: This retrospective cohort study assessed 77 patients who underwent total laryngectomy from 2010 to 2020 in a tertiary referral center. Serial imaging studies (computed tomography [CT], magnetic resonance imaging, and positron emission tomography-CT) were used to assess otitis media. RESULTS: The study enrolled 58 patients (mean age, 67.0±7.7 years; male, 56 [96.6%]); nine (15.5%) underwent a gastrostomy tube (four preoperatively and five postoperatively). Otitis media was confirmed in seven (12.1%) patients. Gastrostomy tube insertion was the only significant risk factor for otitis media (p=0.012). Of the nine patients who underwent gastrostomy tube insertion, four developed otitis media; all four had the procedure after laryngectomy. CONCLUSIONS: This study found an increased incidence of otitis media after total laryngectomy. Swallowing difficulties likely contribute to otitis media as it occurred more frequently in patients requiring postoperative gastrostomy tube insertion. The Korean Audiological Society and Korean Otological Society 2022-01 2021-12-30 /pmc/articles/PMC8755433/ /pubmed/34963275 http://dx.doi.org/10.7874/jao.2021.00549 Text en Copyright © 2022 The Korean Audiological Society and Korean Otological Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jung, Youngrak
Cho, Ara
Yang, Seungjoon
Jeon, Yutae
Bae, Seong Hoon
Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media
title Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media
title_full Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media
title_fullStr Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media
title_full_unstemmed Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media
title_short Patients Requiring Gastrostomy Tube Insertion After Total Laryngectomy Have a Higher Incidence of Otitis Media
title_sort patients requiring gastrostomy tube insertion after total laryngectomy have a higher incidence of otitis media
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8755433/
https://www.ncbi.nlm.nih.gov/pubmed/34963275
http://dx.doi.org/10.7874/jao.2021.00549
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