medigraphic.com
ISSN 0016-3813 (Print)

2018, Number 6

<< Back Next >>

Gac Med Mex 2018; 154 (6)

Evaluación funcional de deglución-aspiración en pacientes sometidos a laringectomía subtotal supracricoidea con cricohioidoepiglotopexia

Gallegos-Hernández JF, Díaz-Guzmán ME, Pichardo-Romero PA, Mateos-Aguilar OO, Abrego JA, Ortiz-Maldonado AL

Language: Spanish
References: 14
Page: 645-648
PDF size: 182.20 Kb.


ABSTRACT

Introduction: Cardiovascular disease is the main cause of mortality worldwide. In women, its incidence increases at the sixth decade of life, coinciding with postmenopause. Whether this effect is due to menopause-related hormonal changes is not known. Objective: To evaluate the differences in cardiovascular risk in pre- and postmenopausal women by means of the Globorisk risk scale, the triglyceride/high-density lipoproteinsHDL cholesterol (Tg/HDL-C) ratio and metabolic syndrome (MS) criteria. Method: Cross-sectional study that included 408 women from 40 to 60 years of age; anthropometric measurements and biochemical determinations were performed. The participants were classified as premenopausal and postmenopausal. Cardiovascular risk was assessed using the MS criteria, the Globorisk risk calculator and the Tg/HDL-C ratio. Results: Postmenopausal women showed a significant increase in waist circumference, total cholesterol and triglycerides Tg in comparison with premenopausal women. Significant associations were found between hormonal state and Globorisk-measured cardiovascular risk (OR = 2.50; 95 % CI = 1.67-3.74) and the Tgtriglyceride/HDL-C ratio (OR = 1.66; 95 % CI = 1.09-2.52). Conclusion: Cardiovascular risk factors have a higher prevalence in postmenopause. The Globorisk scale and Tg/HDL-C ratio identify cardiovascular risk in postmenopausal women.


REFERENCES

  1. Majer EH, Rieder W. Modification of laryngectomy with preservation of the air passages. Arch Ohren Nasen Kehlkopfheilkd. 1958;173:442-446.

  2. Piquet JJ. Functional laryngectomy (cricohyoidopexy). Clin Otolaryngol Allied Sci. 1976;1:7-16.

  3. Gallegos-Hernández JF, Cruz-Esquivel I, Ortiz-Maldonado AL, Minauro-Muñoz GG, Arias-Ceballos H, Pichardo-Romero P. Laryngeal conservative surgery in patients candidates for combined treatment with chemoradiotherapy. Cir Cir. 2016;84:96-101.

  4. Leone CA, Capasso P, Topazio D, Russo G. Supracricoid laryngectomy for recurrent laryngeal cancer after chemoradiotherapy: a systematic review and meta-analysis. Acta Otorhinolaryngol Ital. 2016;36:439-449.

  5. Zietek E, Jaworowska E, Tarnowoska C, Jach K Functional results after supracricoid reconstructive laryngectomy with cricohyoidopexy (chp) and cricohioidoepiglotopexy (chep). Otolaryngol Pol 1992;46:457-462.

  6. Allegra E, Franco T, Traspasso S, Domanico R, La-Boria A, Garozzo A. Modified supracricoid laryngectomy: oncological and functional outcomes in the elderly. 2012;7:475-480.

  7. Clayburgh DR, Graville DJ, Palmer AD, Schindler JS. Factors associated with supracricoid laryngectomy functional outcomes. Head Neck. 2013;35:1397-1403.

  8. Manelli G, Lazio M, Luparello P, Gallo O. Conservative treatment for advanced T3-4 laryngeal cancer: meta-analysis of key oncological outcomes. Eur Arch Otorhinolaryngol. 2018;275:27-38.

  9. Luna-Ortiz K, Pashe P, Tamez-Velarde M, Villavicencio-Valencia V. Spracricoid partial laryngectomy with cricohyoidoepiglottopexy in patients with radiation therapy failure. World J Surg Oncol. 2009;7:101.

  10. Laccourreye O, Brasnu D, Périé D, Muscatello L, Ménard M, Weinstein G. Supracricoid partial laryngectomies in the elderly: mortality, complications and functional outcome. Laryngoscope. 1998;108:237-242.

  11. Topaloglu I, Köprücü G, Bal M. Analysis of swallowing function alter supracricoid laryngectomy with cricohyoidopexy. Otoalryngol Head Neck Surg. 2012;146:412-418.

  12. Yücetürk AV, Tarhan S, Günhan K, Pabușçu Y. Videofluorscopic evaluation of the swallowing function after supracricoid laryngectomy. Eur Arch Otorhinolaryngol. 2005;262:198-203.

  13. De Vincentiis MI, Calcagno P, Di-Cello P, Mastronicola R, Simnelli M, Ruoppolo G, et al. Transit time of swallowing after subtotal laryngectomy. Rev Laryngol Otol Rhinol (Bord). 2004;125:223-227.

  14. Heyman S. The radionuclide salivagram for detectin the pulmonary aspiration of saliva in an infant. Pediatr Radiol. 1989;19:208-209.




2020     |     www.medigraphic.com