The Effect of Halp Score on the Development of Pharyngocutaneous Fistula After Laryngectomy

Deniz Baklacı; Duygu Erdem; Seda Nur Saka; Gökhan Furkan Kılıç; Doğancan Eralp

Makale detayları

The Effect of Halp Score on the Development of Pharyngocutaneous Fistula After Laryngectomy

Yazarlar:

Deniz Baklacı | Duygu Erdem | Seda Nur Saka | Gökhan Furkan Kılıç | Doğancan Eralp

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Batı Karadeniz Tıp Dergisi Vol.9 Issue 2, pp.158-165

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357719

pISSN:

2822-4302

Anahtar kelimeler:

Özet:

 Aim: Laryngeal cancers are prominent among head and neck cancers, and laryngectomy is commonly performed in advanced cases. Pharyngocutaneous fistula PCF, a postoperative complication, negatively impacts quality of life, prolongs hospitalization, and delays treatment. The Hemoglobin, Albumin, Lymphocyte, and Platelet HALP score, calculated from hemoglobin, albumin, lymphocyte, and platelet levels, reflects immune and nutritional status. Material and Methods: This retrospective study included 76 patients who underwent surgery for laryngeal cancer between January 2012 and June 2024. Patients were grouped based on partial or total laryngectomy, and HALP scores were compared with the incidence of fistula. Results: In the total laryngectomy group, the mean HALP score was 33.4217.17 for patients without fistula and 42.7930.00 for those with fistula. No statistically significant difference was found between the two groups p0.05. Conclusion: No significant relationship was found between HALP score and PCF development. However, since hemoglobin and albumin may be risk factors, larger, multicenter prospective studies are needed for a more comprehensive evaluation.

 Aim: Laryngeal cancers are prominent among head and neck cancers, and laryngectomy is commonly performed in advanced cases. Pharyngocutaneous fistula PCF, a postoperative complication, negatively impacts quality of life, prolongs hospitalization, and delays treatment. The Hemoglobin, Albumin, Lymphocyte, and Platelet HALP score, calculated from hemoglobin, albumin, lymphocyte, and platelet levels, reflects immune and nutritional status. Material and Methods: This retrospective study included 76 patients who underwent surgery for laryngeal cancer between January 2012 and June 2024. Patients were grouped based on partial or total laryngectomy, and HALP scores were compared with the incidence of fistula. Results: In the total laryngectomy group, the mean HALP score was 33.4217.17 for patients without fistula and 42.7930.00 for those with fistula. No statistically significant difference was found between the two groups p0.05. Conclusion: No significant relationship was found between HALP score and PCF development. However, since hemoglobin and albumin may be risk factors, larger, multicenter prospective studies are needed for a more comprehensive evaluation.

 Aim: Laryngeal cancers are prominent among head and neck cancers, and laryngectomy is commonly performed in advanced cases. Pharyngocutaneous fistula PCF, a postoperative complication, negatively impacts quality of life, prolongs hospitalization, and delays treatment. The Hemoglobin, Albumin, Lymphocyte, and Platelet HALP score, calculated from hemoglobin, albumin, lymphocyte, and platelet levels, reflects immune and nutritional status. Material and Methods: This retrospective study included 76 patients who underwent surgery for laryngeal cancer between January 2012 and June 2024. Patients were grouped based on partial or total laryngectomy, and HALP scores were compared with the incidence of fistula. Results: In the total laryngectomy group, the mean HALP score was 33.4217.17 for patients without fistula and 42.7930.00 for those with fistula. No statistically significant difference was found between the two groups p0.05. Conclusion: No significant relationship was found between HALP score and PCF development. However, since hemoglobin and albumin may be risk factors, larger, multicenter prospective studies are needed for a more comprehensive evaluation.

 Amaç: Larengeal kanserler, baş ve boyun kanserleri içinde önemli bir yer tutar ve ileri evre hastalarda genellikle larenjektomi uygulanır. Cerrahiden sonra gelişebilen farengokütanöz fistül FKF, yaşam kalitesini düşürür, hastanede kalış süresini uzatır ve tedavi sürecini aksatır. Hemoglobin, Albumin, Lenfosit ve Platelet HALP skoru; hemoglobin, albümin, lenfosit ve trombosit parametrelerinin kullanıldığı, immün ve beslenme durumunu yansıtan bir biyomarkerdir. Gereç ve Yöntemler: Ocak 2012 - Haziran 2024 tarihleri arasında kliniğimizde larenks kanseri nedeniyle opere edilen 76 hasta retrospektif olarak değerlendirildi. Hastalar, kısmi veya total larenjektomi geçirmelerine göre gruplandırıldı ve HALP skorları ile fistül gelişimi karşılaştırıldı. Bulgular: Total larenjektomi yapılan ve fistül gelişmeyen hastaların ortalama HALP skoru 33.4217.17, fistül gelişenlerin ise 42.7930.00 idi. Ancak gruplar arasında istatistiksel olarak anlamlı fark saptanmadı p0.05. Sonuç: HALP skoru ile FKF gelişimi arasında anlamlı bir ilişki bulunmadı. Ancak hemoglobin ve albümin düzeylerinin risk faktörü olabileceği göz önünde bulundurularak, bu ilişkiyi değerlendirmek için daha geniş, çok merkezli ve prospektif çalışmalara ihtiyaç vardır.

Makale detayları

The Effect of Halp Score on the Development of Pharyngocutaneous Fistula After Laryngectomy

Yazarlar:

Deniz Baklacı | Duygu Erdem | Seda Nur Saka | Gökhan Furkan Kılıç | Doğancan Eralp

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Batı Karadeniz Tıp Dergisi Vol.9 Issue 2, pp.158-165

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357719

pISSN:

2822-4302

HALP score

laryngectomy

pharyngocutaneous fistulaFaringokutanöz fistül

HALP skoru

larenjektomi

Sayı

Makale detayları

The Effect of Halp Score on the Development of Pharyngocutaneous Fistula After Laryngectomy

Yazarlar: Deniz Baklacı | Duygu Erdem | Seda Nur Saka | Gökhan Furkan Kılıç | Doğancan Eralp

Yayıncı: Zonguldak Bulent Ecevit University

Ana Başlıklar: Kulak Burun Boğaz

Dergi: Batı Karadeniz Tıp Dergisi Vol.9 Issue 2, pp.158-165

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357719

pISSN: 2822-4302

HALP score

laryngectomy

pharyngocutaneous fistulaFaringokutanöz fistül

HALP skoru

larenjektomi

Sayı

Yazarlar:

Deniz Baklacı | Duygu Erdem | Seda Nur Saka | Gökhan Furkan Kılıç | Doğancan Eralp

Yayıncı:

Zonguldak Bulent Ecevit University

Ana Başlıklar:

Kulak Burun Boğaz

Dergi:

Batı Karadeniz Tıp Dergisi Vol.9 Issue 2, pp.158-165

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357719

pISSN:

2822-4302