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Published in: European Archives of Oto-Rhino-Laryngology 7/2011

01-07-2011 | Rhinology

The impact of tracheostomy on the nose

Authors: A. Tsikoudas, M. L. Barnes, P. White

Published in: European Archives of Oto-Rhino-Laryngology | Issue 7/2011

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Abstract

To establish the effect of tracheostomy on nasal function and quality of life. Teaching Hospital, Scotland, UK. Cross-sectional case–control study. Two groups of patients were selected; a group of ten patients who underwent surgical tracheostomy and a control group of ten patients with confirmed or suspected head and neck malignancy that did not require tracheostomy. Two questionnaires, the SNOT-22 quality of life instrument, and the Rhinogram nasal symptoms score were used to evaluate each group. For the Rhinogram questionnaire the median total score was 13.5 for the tracheostomy group and 2 for the control group (P = 0.02) whilst for the SNOT-22, the mean total scores were 39 and 29, respectively (P = 0.205). The tracheostomy group scored worse for all Rhinogram questions, and for the anosmia score this was independently statistically significant (5 vs. 0 units, P = 0.001). The tracheostomy group most commonly identified “loss of smell & taste” as their most important symptom, compared with only 2 subjects in the control group. Tracheostomy can give rise to nasal symptoms. This needs to be addressed in the routine follow up of these patients.
Literature
1.
go back to reference Tos M, Mogensen C (1979) Experimental surgery on the nose. Changes of the epithelium in the vestibular region at altered airflow. Acta Otolaryngol 87:317–323PubMedCrossRef Tos M, Mogensen C (1979) Experimental surgery on the nose. Changes of the epithelium in the vestibular region at altered airflow. Acta Otolaryngol 87:317–323PubMedCrossRef
2.
go back to reference Cvetnic V, Batistic B, Sankovic F (1987) Cytological & histological alterations in the nasal mucous membrane during experimental obstruction of nasal openings. Rhinology 25:5–12PubMed Cvetnic V, Batistic B, Sankovic F (1987) Cytological & histological alterations in the nasal mucous membrane during experimental obstruction of nasal openings. Rhinology 25:5–12PubMed
3.
go back to reference Shin SH, Heo WW (2005) Effects of unilateral naris closure on the nasal & maxillary sinus mucosa in the rabbit. Auris Nasus Larynx 32:139–143PubMedCrossRef Shin SH, Heo WW (2005) Effects of unilateral naris closure on the nasal & maxillary sinus mucosa in the rabbit. Auris Nasus Larynx 32:139–143PubMedCrossRef
4.
go back to reference Boyce J, Eccles R (2006) Do chronic changes in nasal airflow have any physiological effect on the nose and paranasal sinuses? A systematic review. Clin Otolaryngol 31:15–19PubMedCrossRef Boyce J, Eccles R (2006) Do chronic changes in nasal airflow have any physiological effect on the nose and paranasal sinuses? A systematic review. Clin Otolaryngol 31:15–19PubMedCrossRef
5.
go back to reference Hilgers FJM, Van Dam FSAM, Keyzers S, Koster MN, Van As CJ, Muller MJ (2000) Rehabilitation of olfaction after laryngectomy by means of a nasal airflow inducing maneuver. The “polite yawning” technique. Arch Otolaryngol Head Neck Surg 126:726–732PubMed Hilgers FJM, Van Dam FSAM, Keyzers S, Koster MN, Van As CJ, Muller MJ (2000) Rehabilitation of olfaction after laryngectomy by means of a nasal airflow inducing maneuver. The “polite yawning” technique. Arch Otolaryngol Head Neck Surg 126:726–732PubMed
6.
go back to reference Magardino TM, Suskind-Liu D, Kroger H, Mirza N (2001) Ipratroprium nasal spray for the treatment of rhinorrhea in the laryngectomized patient: a pilot study. Am J Rhinol 15:203–206PubMedCrossRef Magardino TM, Suskind-Liu D, Kroger H, Mirza N (2001) Ipratroprium nasal spray for the treatment of rhinorrhea in the laryngectomized patient: a pilot study. Am J Rhinol 15:203–206PubMedCrossRef
7.
go back to reference McNeill EJM, Samuel PR (2005) Nasal polyposis in the laryngectomee. JLO 119:57–58CrossRef McNeill EJM, Samuel PR (2005) Nasal polyposis in the laryngectomee. JLO 119:57–58CrossRef
8.
go back to reference Maurizi M, Paludetti G, Almadori G, Ottaviani F, Todisco T (1986) Mucociliary clearance and mucosal surface characteristics before and after total laryngectomy. Acta Otolaryngol 102:136–145PubMedCrossRef Maurizi M, Paludetti G, Almadori G, Ottaviani F, Todisco T (1986) Mucociliary clearance and mucosal surface characteristics before and after total laryngectomy. Acta Otolaryngol 102:136–145PubMedCrossRef
9.
go back to reference Cvetnic V, Sips D (1988) Clinical and cytological alterations in nasal mucosa in laryngectomized patients. Rhinology 26:183–190PubMed Cvetnic V, Sips D (1988) Clinical and cytological alterations in nasal mucosa in laryngectomized patients. Rhinology 26:183–190PubMed
10.
go back to reference Fisher EW, Lund VJ, Rutman A (1992) The human nasal mucosa after deprivation of the airflow. A study of laryngectomy patients. Rhinology 30:5–10PubMed Fisher EW, Lund VJ, Rutman A (1992) The human nasal mucosa after deprivation of the airflow. A study of laryngectomy patients. Rhinology 30:5–10PubMed
11.
go back to reference Ozdem C, Ercan MT (1984) Measurement of blood flow to human nasal mucosa in normal and pathological conditions by the use of the 133Xe clearance technique. Arch Otorhinolaryngol 239:219–227PubMedCrossRef Ozdem C, Ercan MT (1984) Measurement of blood flow to human nasal mucosa in normal and pathological conditions by the use of the 133Xe clearance technique. Arch Otorhinolaryngol 239:219–227PubMedCrossRef
12.
go back to reference Bende M (1983) Blood flow in human nasal mucosa after laryngectomy. Acta Otolaryngol (Stockh) 96:529–531CrossRef Bende M (1983) Blood flow in human nasal mucosa after laryngectomy. Acta Otolaryngol (Stockh) 96:529–531CrossRef
13.
go back to reference Toppozada HH, Gaafar HA (1976) Human nasal blood vessels after permanent tracheostomy electron-microscopic study. ORL J Otorhinolaryngol Relat Spec 38:35–44PubMedCrossRef Toppozada HH, Gaafar HA (1976) Human nasal blood vessels after permanent tracheostomy electron-microscopic study. ORL J Otorhinolaryngol Relat Spec 38:35–44PubMedCrossRef
14.
go back to reference Havas TE, Cole P, Gullane P, Kassel R (1987) Alterations in nasal physiology. The nasal cycle. J Otolaryngol 16:149–153PubMed Havas TE, Cole P, Gullane P, Kassel R (1987) Alterations in nasal physiology. The nasal cycle. J Otolaryngol 16:149–153PubMed
15.
go back to reference Fisher EW, Lui M, Lund VJ (1994) The nasal cycle after deprivation of airflow. A study of laryngectomy patients. Acta Otolaryngol (Stockh) 114:443–446CrossRef Fisher EW, Lui M, Lund VJ (1994) The nasal cycle after deprivation of airflow. A study of laryngectomy patients. Acta Otolaryngol (Stockh) 114:443–446CrossRef
16.
go back to reference Morley AD, Sharp HR (2006) A review of sinonasal outcome scoring systems-which is best? Clin Otolaryngol 31:103–109PubMedCrossRef Morley AD, Sharp HR (2006) A review of sinonasal outcome scoring systems-which is best? Clin Otolaryngol 31:103–109PubMedCrossRef
17.
go back to reference Hopkins C (2009) Patient reported outcome measures in Rhinology. Rhinology 47:10–17PubMed Hopkins C (2009) Patient reported outcome measures in Rhinology. Rhinology 47:10–17PubMed
18.
go back to reference Piccirillo J, Merritt M, Richards M (2002) Psychometric and clinimetric validity of the 20-item sino-nasal outcome test (SNOT 20). Otolaryngol Head Neck Surg 126:41–47PubMedCrossRef Piccirillo J, Merritt M, Richards M (2002) Psychometric and clinimetric validity of the 20-item sino-nasal outcome test (SNOT 20). Otolaryngol Head Neck Surg 126:41–47PubMedCrossRef
19.
go back to reference Piccirillo JF, Edwards D, Haiduk A (1995) Psychometric and clinimetric validity of the 31-item Rhinosinusitis outcome test (RSOM-31). Am J Rhinol 9:297–306CrossRef Piccirillo JF, Edwards D, Haiduk A (1995) Psychometric and clinimetric validity of the 31-item Rhinosinusitis outcome test (RSOM-31). Am J Rhinol 9:297–306CrossRef
20.
go back to reference Buckland JR, Thomas S, Harries PG (2003) Can the sino-nasal outcome test (SNOT 22) be used as a reliable outcome measure for successful septal surgery? Clin Otolaryngol 28:43–47PubMedCrossRef Buckland JR, Thomas S, Harries PG (2003) Can the sino-nasal outcome test (SNOT 22) be used as a reliable outcome measure for successful septal surgery? Clin Otolaryngol 28:43–47PubMedCrossRef
21.
go back to reference Browne JP, Hopkins C, Slack R et al (2006) Health-related quality of life after polypectomy with and without additional surgery. Laryngoscope 116:297–302PubMedCrossRef Browne JP, Hopkins C, Slack R et al (2006) Health-related quality of life after polypectomy with and without additional surgery. Laryngoscope 116:297–302PubMedCrossRef
22.
go back to reference Srouji IA, Andrews P, Edwards C, Lund VJ (2006) General and rhinosinusitis-related quality of life in patients with wegener’s granulomatosis. Laryngoscope 116:1621–1625PubMedCrossRef Srouji IA, Andrews P, Edwards C, Lund VJ (2006) General and rhinosinusitis-related quality of life in patients with wegener’s granulomatosis. Laryngoscope 116:1621–1625PubMedCrossRef
23.
go back to reference Van Oene CM, Van Reij E, Sprangers M, Fokkens WJ (2007) Quality assessment of disease specific quality of life questionnaires for rhinitis and rhinosinusitis. A systematic review. Allergy 62:1359–1371PubMedCrossRef Van Oene CM, Van Reij E, Sprangers M, Fokkens WJ (2007) Quality assessment of disease specific quality of life questionnaires for rhinitis and rhinosinusitis. A systematic review. Allergy 62:1359–1371PubMedCrossRef
24.
go back to reference Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP (2009) Psychometric validity of the 22-item sinonasal outcome test. Clin Otolaryngol 34:447–454PubMedCrossRef Hopkins C, Gillett S, Slack R, Lund VJ, Browne JP (2009) Psychometric validity of the 22-item sinonasal outcome test. Clin Otolaryngol 34:447–454PubMedCrossRef
25.
go back to reference Lund VJ, Kennedy DW (1995) Staging and therapy group. Quantification for staging sinusitis. Ann Otol Rhinol Laryngol 167:17–21 Lund VJ, Kennedy DW (1995) Staging and therapy group. Quantification for staging sinusitis. Ann Otol Rhinol Laryngol 167:17–21
26.
go back to reference Fairley JW, Durham LH, Ell SR (1993) Correlation of subjective sensation of nasal patency with nasal inspiratory peak flow rate. Clin Otolaryngol 18:19–22PubMedCrossRef Fairley JW, Durham LH, Ell SR (1993) Correlation of subjective sensation of nasal patency with nasal inspiratory peak flow rate. Clin Otolaryngol 18:19–22PubMedCrossRef
27.
go back to reference White P (2004) Subjective scoring systems in Rhinology. ENT News 12:50–51 White P (2004) Subjective scoring systems in Rhinology. ENT News 12:50–51
28.
go back to reference Patel PM, Maskell S, Heywood R, Eze N, Hern J (2010) Prospective, comparative, cohort study comparing the rhinogram, sino-nasal outcome test 20 and health-related quality of life questionnaire. JLO 124:623–630CrossRef Patel PM, Maskell S, Heywood R, Eze N, Hern J (2010) Prospective, comparative, cohort study comparing the rhinogram, sino-nasal outcome test 20 and health-related quality of life questionnaire. JLO 124:623–630CrossRef
Metadata
Title
The impact of tracheostomy on the nose
Authors
A. Tsikoudas
M. L. Barnes
P. White
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
European Archives of Oto-Rhino-Laryngology / Issue 7/2011
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-011-1522-1

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