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Ege Journal of Medicine
2017, Cilt 56, Sayı 4, Sayfa(lar) 168-172
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Pulmonary resection for the patients with larynx and pulmonary malignancies
Tevfik İlker Akçam, Önder Kavurmacı, Ali Özdil, Ayşe Gül Ergönül, Kutsal Turhan, Alpaslan Çakan
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir, Türkiye
Keywords: Larynx and pulmonary malignancy, tracheostomy, entubation difficulty

Aim: Larynx and pulmonary malignancies can be seen synchronously or metachronously as a result of common etiological factors. In this study, we aimed to present our clinical approach and management methods of these patients.

Materials and Methods: The records of patients underwent pulmonary resection with previous larynx malignancy between January 2010 and April 2016 were investigated retrospectively.

Results: All of 20 patients were male with a mean age of 62.18 ± 2.65 years (range 47 to 84 years). Synchronous larynx and pulmonary malignancies without any previous treatment for larynx malignancy were defined as Group 1 (6 patients) and pulmonary malignancy patients with previous treated larynx malignancy were defined as Group 2 (14 patients). Tracheostomy had been performed to four patients in Group 2. The pre, -per and postoperative problems and complications were as follows: Four (20%) patients could not performed pulmonary function test (PFT), single lung ventilation could not be obtained in 3 (15%) patients, differential diagnosis could not be achieved in frozen section examination in 4 of 9 (44.4%) patients.

Conclusion: The patients with both larynx and pulmonary malignancies must be evaluated carefully in terms of entubation difficulties. Arterial blood gas analysis with exercise test and six minutes walk test must be performed to the patients who cannot perform PFT. Humidification of the respiration air, bronchoscopy and tracheostomy when needed must be kept in mind to avoid postoperative secretion retention.

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