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Young-Hoon Joo, MD; Dong-Il Sun, MD, PhD; Jung-Hae Cho, MD; Kwang-Jae Cho, MD, PhD; Min-Sik Kim, MD, PhD

Arch Otolaryngol Head Neck Surg. 2009;135(11):1154-1157.

Objective  To determine the risk factors related to postoperative pulmonary complications in patients who undergo supracricoid partial laryngectomy.

Design  Retrospective analysis of medical records.

Setting  Tertiary care referral center.

Patients  One hundred eleven patients who underwent supracricoid partial laryngectomy from January 1, 1993, through December 31, 2008.

Main Outcome Measures  Relationship between postoperative pulmonary complications and perioperative risk factors, such as age, sex, chronic lung disease, smoking status, tumor site, tumor stage, preoperative irradiation, extent of surgery, reconstruction method, and pulmonary function tests.

Results  Thirty-six patients (32.4%) developed postoperative pulmonary complications. Significant correlations were found among age (P = .002), chronic lung disease (P = .005), smoking status (P = .02), and postoperative pulmonary complications. Cricohyoidopexy (P = .008) and ipsilateral arytenoidectomy (P = .03) were associated with postoperative pulmonary complications. The multivariate analysis showed a significant association of the postoperative pulmonary complications with age (odds ratio [OR], 3.8; 95% confidence interval [CI], 1.2-11.7 in patients 60 to 69 years old; and OR, 7.1; 95% CI, 1.3-37.6 in patients 70 to 79 years old) and cricohyoidopexy (OR, 4.4; 95% CI, 1.1-18.1).

Conclusion  Patients 60 years or older and patients with cricohyoidopexy are at high risk of having postoperative pulmonary complications after supracricoid partial laryngectomy.

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, College of Medicine, Kangnam St Mary's Hospital, The Catholic University of Korea, Seoul.

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