Evidence map›Paper›PMID 37623473›Full record

ArticleJournal of personalized medicine2023

Pectoralis Major in Salvage Total Laryngectomy after Irradiation: Morbidity, Mortality, Functional, and Oncological Results in a Referral Center in Egypt.

Mahmoud Abdelghany, Ayman Amin, Emilia Degni, Claudia Crescio, Asem Elsani M A Hassan, Tarek Ftohy, Francesco Bussu

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. The global, regional, and national disease burden of laryngeal cancer attributable to high alcohol use from 1990 to 2021: a global burden of disease study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    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

7 authors at 4 institutions in 2 countries.

Mahmoud AbdelghanyMaxillofacial Unit, General Surgery Department, Faculty of Medicine, Sohag University, Sohag 82524, Egypt.
Ayman AminSurgery Department, National Cancer Institute (NCI), Cairo University, Cairo 12613, Egypt.
Emilia DegniOtolaryngology Division, Azienda Ospedaliero Universitaria, Viale San Pietro 12, 07100 Sassari, Italy.
Claudia CrescioOtolaryngology Division, Azienda Ospedaliero Universitaria, Viale San Pietro 12, 07100 Sassari, Italy.ORCID 0000-0003-1515-1867
Asem Elsani M A HassanGeneral Surgery Department, Faculty of Medicine, Sohag University, Sohag 82524, Egypt.
Tarek FtohyMaxillofacial Unit, General Surgery Department, Faculty of Medicine, Sohag University, Sohag 82524, Egypt.
Francesco BussuOtolaryngology Division, Azienda Ospedaliero Universitaria, Viale San Pietro 12, 07100 Sassari, Italy.ORCID 0000-0001-6261-2772
Sohag University · EGAzienda Ospedaliero Universitaria di Sassari · ITCairo University · EGUniversity of Sassari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNonsurgical organ preservation protocols have seen a large diffusion worldwide in the last decades. Their oncological and functional effectiveness in a real-world setting has been recently questioned because of the high morbidity of salvage procedures. The aim of this study is to review the outcomes of postirradiation salvage total laryngectomy (STL) and reconstruction with pectoralis major flap.

methodsThis retrospective observational study included 37 cases of STL in the period from January 2015 to December 2021. Data for each patient were extracted from the hospital information system and reviewed.

resultsThe 3-year overall and disease-specific survival are, respectively, 28% and 51%. Only seven recurrences after salvage surgery were recorded and all of them died from the disease. The other 14 deaths derived from comorbidities, with diabetes being the most significant predictive parameter for overall survival. Also, lower postoperative albumin levels were associated with a higher risk of death.

conclusionsOverall survival after STL and reconstruction with PMMF is low but most deaths are due to comorbidities and not to cancer progression or recurrence.

Indexed as

laryngeal cancerorgan preservationpectoralis major flappharyngocutaneous fistularadiotherapysalvage total laryngectomysurgical morbidity

Identifiers

PMID37623473
PMCPMC10455500
OpenAlexW4385445389

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.