Evidence map›Paper›PMID 26015645›Full record

ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2015

Tracheocutaneous fistula in patients undergoing supracricoid partial laryngectomy: the role of chronic aspiration.

A DE Virgilio, M Simonelli, A Greco, A Gallo, A Moretta, C C Wang, S Martellucci, P Calcagno, M DE Vincentiis

Open access · greenAbstract readComparative Study
PubMed Full text at PMC
In one paragraph

Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Tracheocutaneous Fistula Closure with Turnover Flap and Polydioxanone Plate.Plastic and reconstructive surgery. Global open · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

A DE VirgilioDepartment of Sensory Organs, ENT Section, Sapienza' University of Rome, Italy - Department of Surgical Sciences, 'Sapienza' University of Rome, Italy;
M SimonelliThe Speech and Swallowing Rehabilitation Service, "Santa Lucia" Foundation, Roma, Italy;
A GrecoDepartment of Sensory Organs, ENT Section, Sapienza' University of Rome, Italy - Department of Surgical Sciences, 'Sapienza' University of Rome, Italy;
A GalloDepartment of Surgical Biotechnologies and Science, ENT Section, Sapienza Università di Roma, Italy;
A MorettaDepartment of Sensory Organs, ENT Section, Sapienza' University of Rome, Italy - Department of Surgical Sciences, 'Sapienza' University of Rome, Italy;
C C WangSchool of Medicine, National Yang-Ming University, Taipei, Taiwan - School of Speech Language Pathology & Audiology, Chung Shan Medical University, Taichung, Taiwan - Department of Otolaryngology-Head & Neck Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.
S MartellucciDepartment of Surgical Biotechnologies and Science, ENT Section, Sapienza Università di Roma, Italy;
P CalcagnoThe Speech and Swallowing Rehabilitation Service, "Santa Lucia" Foundation, Roma, Italy;
M DE VincentiisDepartment of Sensory Organs, ENT Section, Sapienza' University of Rome, Italy - Department of Surgical Sciences, 'Sapienza' University of Rome, Italy;
Sapienza University of Rome · ITFondazione Santa Lucia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the present retrospective controlled study was to analyse and compare risk factors for tracheocutaneous fistula in patients who received tracheostomy after supracricoid partial laryngectomy with those who received tracheostomy for other causes. We enrolled 39 patients with tracheocutaneous fistulas who were divided into two groups. The first received temporary tracheostomy for supracricoid partial laryngectomies (n = 21), while the control group consisted of patients who received temporary tracheostomy for other causes (n = 18). Risk factors believed to play a role in the pathogenesis of tracheocutaneous fistula were examined including advanced age, cardiopathy, local infections, radiotherapy, elevated body mass index, malnutrition, decannulation time and aspiration grade. The Leipzig and Pearson scale score was significantly higher in the supracricoid partial laryngectomy group (p = 0.006 and 0.031 for univariate and multivariate analyses, respectively). The penetration/aspiration scale score was significantly higher in the supracricoid partial laryngectomy group as determined by univariate analysis (p = 0.014). The decannulation time was significantly lower in the supracricoid partial laryngectomy group (p = 0.004 and 0.0004 for univariate and multivariate analyses, respectively). The number of surgical closures for tracheocutaneous fistula was significantly higher in the supracricoid partial laryngectomy group by univariate analysis (p = 0.027). These results suggest that chronic aspiration and related cough may be important pathogenic factors for tracheocutaneous fistula and could be responsible for the significantly higher rates of closure failure in patients after supracricoid partial laryngectomy.

Indexed as

AdultAgedAged, 80 and overChronic DiseaseCricoid CartilageCutaneous FistulaFemaleHumansLaryngectomyMaleMiddle AgedRespiratory AspirationRespiratory Tract FistulaRetrospective StudiesRisk FactorsTracheal DiseasesAspirationRisk factorsSupracricoid partial laryngectomyTracheocutaneous fistulaTracheostomy

Identifiers

PMID26015645
PMCPMC4443572
OpenAlexW345850831

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.