Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Department of Plastic and Reconstructive Surgery, Beaumont Hospital, Dublin, Ireland.
J Laryngol Otol. 2022 Dec;136(12):1271-1274. doi: 10.1017/S0022215122000767. Epub 2022 May 26.
The Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity ('P-POSSUM') is a two-part scoring system that includes a physiological assessment and a measure of operative severity. This study sought to determine whether risk estimates for this scoring system could be used in major head and neck reconstructive surgery.
A retrospective review was performed of patients undergoing resection for a temporal bone malignancy in a single head and neck centre in Dublin, Ireland, from 2002 to 2021.
The mean ± standard deviation morbidity estimate calculated using the scoring system was 47.6 per cent ± 19.5 per cent. The actual rate of complications was 47 per cent. The optimal cut-off for the scoring system was calculated using the Youden index from the receiver operating characteristic curve, which was 40.5 per cent in this case.
The study indicates that the Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity is a useful tool for predicting morbidity risk in patients undergoing head and neck resection with reconstruction for temporal bone malignancies.
用于死亡率和发病率计数的朴茨茅斯生理和手术严重程度评分（P-POSSUM）是一个由两部分组成的评分系统，包括生理评估和手术严重程度的衡量。本研究旨在确定该评分系统的风险估计是否可用于主要的头颈部重建手术。
对 2002 年至 2021 年期间在爱尔兰都柏林的一个头颈中心接受颞骨恶性肿瘤切除术的患者进行了回顾性研究。
使用评分系统计算的平均（±标准差）发病率估计值为 47.6%±19.5%。实际并发症发生率为 47%。使用接收者操作特征曲线中的约登指数计算出该评分系统的最佳截断值为 40.5%。
该研究表明，用于死亡率和发病率计数的朴茨茅斯生理和手术严重程度评分是预测接受颞骨恶性肿瘤切除术和重建的头颈部患者发病率风险的有用工具。
