Associação de doença pulmonar obstrutiva crônica (DPOC) e complicações em cirurgia de cabeça e pescoço

Volpe, R.; Fitipaldi, Rafael; Silva, Richard A Wessler P; Lehn, Carlos Neutzling; Fava, Antonio

doi:10.1590/s1808-86942011000100021

Braz. j. otorhinolaryngol. (Impr.)

2011

DOI: 10.1590/s1808-86942011000100021

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Associação de doença pulmonar obstrutiva crônica (DPOC) e complicações em cirurgia de cabeça e pescoço

R. Volpe¹,

Rafael Fitipaldi²,

Richard A Wessler P Silva³

et al.

Abstract: COPD presents in a variety of forms patients with head and neck cancer; it may affect therapeutic decision-making or postoperative outcomes due to its complications. Aim:To correlate the severity of COPD in patients with head and neck SCC treated with surgery, who present postoperative complications.Method: A retrospective analysis of 31 patients undergoing en bloc resections, from 2008 to 2009. All cases were evaluated and classified using the GOLD scale. The COPD grade, intubation period, ICU stay and hospit… Show more

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Cited by 2 publications

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Diaphragm thickness, mobility and respiratory muscle strength in patients with head and neck cancer receiving chemoradiation therapy: A longitudinal pilot study

et al. 2022

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Background: Head and neck cancer is the sixth most common cancer worldwide and is also associated with many pulmonary complications. Decreased cardiopulmonary function and functional capacity is one of the major treatment related side effects of chemoradiation therapy. In this study we aimed to assess and quantify the impact of treatment related side effects on the respiratory function and functional capacity of head and neck cancer patients during chemoradiation therapy. Methods: This was a pilot longitudinal study conducted amongst 12 newly diagnosed head and neck cancer patients (stage III, IV, IVa, IVb) who were admitted to hospital care and were receiving chemoradiation therapy for seven weeks. Outcome variables assessed were diaphragmatic thickness and mobility, maximal inspiratory pressure (MIP) and maximum expiratory pressure (MEP) and functional capacity using six-minute walk test at baseline, three weeks and seven weeks of chemo radiation. Repeated measures ANOVA and Bonferroni post-hoc tests were used to identify significant differences at the three time points with a p < 0.05. Results: Our data reported a decrease in all the variables and a significant decrease in diaphragm function during deep inspiration, respiratory pressures which indicate respiratory muscle strength and functional capacity by the end of the seventh week of chemo-radiation therapy (p <0.05). Conclusion: We conclude that seven weeks of chemo-radiation therapy reduces the diaphragmatic thickness, mobility, respiratory muscle strength and functional capacity in head and neck cancer patients.

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Diaphragm thickness, mobility and respiratory muscle strength in patients with head and neck cancer receiving chemoradiation therapy: A longitudinal pilot study

et al. 2022

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Feasibility and Efficacy of Inspiratory Muscle Training in Patients with Head and Neck Cancer receiving Concurrent Chemoradiotherapy

Vira

Samuel

Rai

et al. 2021

Asian Pac J Cancer Prev

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Objectives: Patients with head and neck cancer (HNC) undergoing concurrent chemoradiotherapy (CCRT) often experience pulmonary symptoms. This study evaluated if a 7-week inspiratory muscle training (IMT) program during CCRT is feasible, adherent, and safe in patients with HNC. This study also evaluated the effect of IMT on diaphragm thickness, mobility, and cardiorespiratory parameters in patients with HNC receiving CCRT. Methods: Ten participants with advanced stage HNC receiving CCRT were recruited for the study. Feasibility, adherence, and safety of the intervention were the primary outcomes. Changes in diaphragm thickness and mobility, maximal inspiratory pressure, maximal expiratory pressure, forced vital capacity, forced expiratory volume in first second and functional capacity using 6-MWT were measured at baseline and post 7 weeks of CCRT. IMT was performed at one session per day for 5 days a week for 7 weeks. Eight sets of two minutes of inspiratory manoeuvres with one minute rest period between them with intensity of 40% MIP were given. Results: Ten participants were included in this study out of the 13 patients screened, indicating the feasibility to be 76.9%. Participants completed a total of 260 training sessions out of the 350 planned sessions denoting the adherence level as 74%. Diaphragm thickness and MEP remained significantly unchanged while significant decline was seen in diaphragm mobility, MIP,FVC, FEV1 and 6-MWD at the end of 7 weeks. No adverse events were reported following the intervention. Conclusion: Inspiratory muscle training did not show significant effect on the diaphragm thickness, mobility, and cardiorespiratory parameters; however, it was feasible, adherent, and safe in patients with HNC receiving CCRT.

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Associação de doença pulmonar obstrutiva crônica (DPOC) e complicações em cirurgia de cabeça e pescoço

Cited by 2 publications

References 16 publications

Diaphragm thickness, mobility and respiratory muscle strength in patients with head and neck cancer receiving chemoradiation therapy: A longitudinal pilot study

Diaphragm thickness, mobility and respiratory muscle strength in patients with head and neck cancer receiving chemoradiation therapy: A longitudinal pilot study

Feasibility and Efficacy of Inspiratory Muscle Training in Patients with Head and Neck Cancer receiving Concurrent Chemoradiotherapy

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