腮腺切除术后预后营养指数对发生涎瘘的影响

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2024-10-10 DOI:10.1111/coa.14244

Zehra Betül Paksoy, Fatma Cemre Sazak Kundi

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引用次数: 0

摘要

目的：腮腺切除术后形成涎瘘或唾液瘘很常见。本研究旨在评估预后营养指数对腮腺切除术后发生涎瘘和涎管的预测价值：研究对象包括在本诊所接受腮腺切除术并被诊断为良性唾液腺肿块的患者。确定术后出现涎窦或涎瘘的患者。对各种因素进行了评估，包括手术技术、肿瘤大小、性别、年龄、预后营养指数和切除肿块的体积。与咽峡部瘘或涎瘘相关的变量随后被纳入多元逻辑回归模型。分析了与涎囊或涎瘘形成有关的可能因素：研究共包括 158 名患者（95 名男性和 63 名女性）。涎囊或涎瘘形成的频率为 13.9%（n = 22）。多元逻辑回归模型发现，预后营养指数（PNI）与涎管或涎瘘的发生有关（ORs = 0.9，95% CI = [0.9]，P = 0.003）。疣状肿瘤与咽峡部或涎瘘风险升高有关（ORs = 0.38，95% CI = [0.184，0.79]，p = 0.009）。ROC分析表明，PNI的特异性为90%，灵敏度为68%。切除肿瘤的大小、手术技术与咽峡部瘘管或唾液瘘管的发生无明显关联：预后营养指数可作为发生咽峡炎或涎瘘的独立风险因素。

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Impact of the Prognostic Nutritional Index on the Development of Sialocele or Salivary Fistula, After Parotidectomy

Purpose

Sialocele or salivary fistula formation is common after parotidectomy. This study aims to evaluate the predictive value of the prognostic nutritional index in the development of salivary fistulas and sialoceles after parotidectomy.

Methods

Patients who underwent parotidectomy at our clinic and were diagnosed with benign salivary gland masses were included in the study. Patients who developed postoperative sialoceles or salivary fistulas were identified. Various factors were assessed, including surgical technique, tumour size, gender, age, prognostic nutritional index, and the volume of the excised mass. Variables associated with sialocele or salivary fistula were later included in a multiple logistic regression model. Possible factors related to the formation of sialocele or salivary fistulas were analysed.

Results

The study comprised 158 patients (95 male and 63 female). The frequency of sialocele or salivary fistula development was 13.9% (n = 22). The multiple logistic regression model found that the prognostic nutritional index(PNI) was linked to the occurrence of sialocele or salivary fistula (ORs = 0.9, 95% CI = [0.9], p = 0.003). Warthin tumour was associated with an elevated risk of sialocele or salivary fistula (ORs = 0.38, 95% CI = [0.184, 0.79], p = 0.009). ROC analysis demonstrated that the PNI had a specificity of 90% and a sensitivity of 68%. No significant associations were observed between the excised tumour size, surgical technique with the development of sialocele or salivary fistula.

Conclusion

Prognostic nutritional index can be utilised as an independent risk factor for the development of sialocele, or salivary fistula.

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.