{"id":{"repo_id":"dialnet","oai_identifier":"oai:dialnet.unirioja.es:TES0000023203"},"canonical_url":"https://search.dev.ndltd.org/etd/dialnet/oai:dialnet.unirioja.es:TES0000023203","repository":{"repo_id":"dialnet","name":"Dialnet","base_url":"https://dialnet.unirioja.es/oaites/OAIHandler"},"display":{"title":"Complicaciones respiratorias en pacientes intervenidos por cáncer de cavidad oral, faringe y laringe en La Rioja","abstract":"Introduction Cancer is one of the leading causes of morbidity and mortality worldwide. In recent years, survival rates for cancer have increased; however, this is not the case for head and neck cancers (HNC). HNC is the seventh most common cancer globally, and its incidence is estimated to increase by 30% annually until 2030. It encompasses a heterogeneous group of tumors, and this thesis focuses on tumors of the oral cavity, pharynx, and larynx, as sinonasal and nasopharyngeal tumors have different epidemiological, pathological, and therapeutic characteristics. Recently, a decrease in laryngeal cancers and an increase in oral cavity and oropharyngeal cancers have been observed, the latter related to human papillomavirus (HPV). The incidence of head and neck cancer (HNC) is directly related to tobacco and alcohol consumption, which explains why patients with HNC often present with comorbidities, notably chronic obstructive pulmonary disease (COPD). Several authors have shown that the presence of COPD increases the incidence of respiratory complications. The relationship between HNC, smoking, and COPD should be studied in detail to identify actions that reduce their prevalence and the complications arising from their treatment. Objectives - To describe the respiratory complications that occur after surgical intervention in these patients. - To analyze the factors associated with the appearance of respiratory complications in the postoperative period of patients undergoing surgery for head and neck cancer. - To characterize the tumors of the oral cavity, pharynx, and larynx diagnosed in patients from La Rioja. - To analyze the clinical and demographic characteristics of the subgroup of patients who developed respiratory complications. - To identify the occurrence of second primary tumors and/or pulmonary metastases in these patients. Methodology A descriptive, observational, and retrospective study was conducted, including patients treated for oral cavity, pharyngeal, and laryngeal cancer in La Rioja from January 2018 to December 2021. Variables recorded included sociodemographic data, medical history, preoperative pulmonary assessment and tests, tumor characteristics, surgical treatments performed, recorded respiratory complications, and secondary lung tumors during a three-year follow-up. Results A total of 160 patients were included. 74.4% were men, with a mean age of 72 years. 69.4% had a history of smoking, and 41.2% consumed alcohol. Comorbidities were documented in 82.5%, with hypertension being the most prevalent, and COPD ranked fifth at 8.1%. Only 16% of patients underwent spirometry, and less than 2% were evaluated by a pulmonologist before surgery. Laryngeal tumors were the most frequent (56.3%), predominantly glottic (40%). Oral cavity tumors accounted for 40.7%, with 55% being women, elderly, and without tobacco or alcohol habits. Most had localized disease (86.3%), and the majority of surgical techniques were partial and transoral. Ten patients (6.2%) experienced respiratory complications. Among these, 80% were smokers, and 30% had COPD, but none were evaluated by a pulmonologist prior to surgery. Diabetes mellitus and non-epidermoid cancer types were significantly associated with complications (p < 0.05).During the two-year follow-up, 14 new lung tumors were detected (8.8%). Conclusions Approximately 6.2% of patients treated for HNC experienced respiratory complications. Although this rate is lower than reported in other studies, it is noteworthy, especially considering that 30% of these patients had a prior diagnosis of COPD higher than the 8% in the series. Furthermore, none of the patients who experienced respiratory complications were evaluated beforehand to optimize the management of their pulmonary disease. These findings highlight the importance of identifying and treating COPD in patients with HNC and underscore the need for further research in this area.","abstract_html":"Introduction Cancer is one of the leading causes of morbidity and mortality worldwide. In recent years, survival rates for cancer have increased; however, this is not the case for head and neck cancers (HNC). HNC is the seventh most common cancer globally, and its incidence is estimated to increase by 30% annually until 2030. It encompasses a heterogeneous group of tumors, and this thesis focuses on tumors of the oral cavity, pharynx, and larynx, as sinonasal and nasopharyngeal tumors have different epidemiological, pathological, and therapeutic characteristics. Recently, a decrease in laryngeal cancers and an increase in oral cavity and oropharyngeal cancers have been observed, the latter related to human papillomavirus (HPV). The incidence of head and neck cancer (HNC) is directly related to tobacco and alcohol consumption, which explains why patients with HNC often present with comorbidities, notably chronic obstructive pulmonary disease (COPD). Several authors have shown that the presence of COPD increases the incidence of respiratory complications. The relationship between HNC, smoking, and COPD should be studied in detail to identify actions that reduce their prevalence and the complications arising from their treatment. Objectives - To describe the respiratory complications that occur after surgical intervention in these patients. - To analyze the factors associated with the appearance of respiratory complications in the postoperative period of patients undergoing surgery for head and neck cancer. - To characterize the tumors of the oral cavity, pharynx, and larynx diagnosed in patients from La Rioja. - To analyze the clinical and demographic characteristics of the subgroup of patients who developed respiratory complications. - To identify the occurrence of second primary tumors and/or pulmonary metastases in these patients. Methodology A descriptive, observational, and retrospective study was conducted, including patients treated for oral cavity, pharyngeal, and laryngeal cancer in La Rioja from January 2018 to December 2021. Variables recorded included sociodemographic data, medical history, preoperative pulmonary assessment and tests, tumor characteristics, surgical treatments performed, recorded respiratory complications, and secondary lung tumors during a three-year follow-up. Results A total of 160 patients were included. 74.4% were men, with a mean age of 72 years. 69.4% had a history of smoking, and 41.2% consumed alcohol. Comorbidities were documented in 82.5%, with hypertension being the most prevalent, and COPD ranked fifth at 8.1%. Only 16% of patients underwent spirometry, and less than 2% were evaluated by a pulmonologist before surgery. Laryngeal tumors were the most frequent (56.3%), predominantly glottic (40%). Oral cavity tumors accounted for 40.7%, with 55% being women, elderly, and without tobacco or alcohol habits. Most had localized disease (86.3%), and the majority of surgical techniques were partial and transoral. Ten patients (6.2%) experienced respiratory complications. Among these, 80% were smokers, and 30% had COPD, but none were evaluated by a pulmonologist prior to surgery. Diabetes mellitus and non-epidermoid cancer types were significantly associated with complications (p &lt; 0.05).During the two-year follow-up, 14 new lung tumors were detected (8.8%). Conclusions Approximately 6.2% of patients treated for HNC experienced respiratory complications. Although this rate is lower than reported in other studies, it is noteworthy, especially considering that 30% of these patients had a prior diagnosis of COPD higher than the 8% in the series. Furthermore, none of the patients who experienced respiratory complications were evaluated beforehand to optimize the management of their pulmonary disease. These findings highlight the importance of identifying and treating COPD in patients with HNC and underscore the need for further research in this area.","abstract_has_math":false,"creators":["Zabaleta López, Marta"],"institution":"Universidad de La Rioja (España)","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["Blanco Ramos, José Ramón (null)","Ruiz Martínez, Carlos (null)"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025","date_published":"2025","updated_at":"2026-07-24T06:27:11Z","subjects":[],"languages":["spa"],"rights":["LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://dialnet.unirioja.es/servlet/oaites?codigo=394336","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Blanco Ramos, José Ramón (null)","Ruiz Martínez, Carlos (null)"]},{"key":"dc:creator","label":"Author","values":["Zabaleta López, Marta"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025"]},{"key":"dc:publisher","label":"Institution","values":["Universidad de La Rioja (España)"]},{"key":"dc:type","label":"Dc Type","values":["text (thesis)"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["spa"]},{"key":"dc:rights","label":"Dc Rights","values":["LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://dialnet.unirioja.es/servlet/oaites?codigo=394336"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Introduction Cancer is one of the leading causes of morbidity and mortality worldwide. In recent years, survival rates for cancer have increased; however, this is not the case for head and neck cancers (HNC). HNC is the seventh most common cancer globally, and its incidence is estimated to increase by 30% annually until 2030. It encompasses a heterogeneous group of tumors, and this thesis focuses on tumors of the oral cavity, pharynx, and larynx, as sinonasal and nasopharyngeal tumors have different epidemiological, pathological, and therapeutic characteristics. Recently, a decrease in laryngeal cancers and an increase in oral cavity and oropharyngeal cancers have been observed, the latter related to human papillomavirus (HPV). The incidence of head and neck cancer (HNC) is directly related to tobacco and alcohol consumption, which explains why patients with HNC often present with comorbidities, notably chronic obstructive pulmonary disease (COPD). Several authors have shown that the presence of COPD increases the incidence of respiratory complications. The relationship between HNC, smoking, and COPD should be studied in detail to identify actions that reduce their prevalence and the complications arising from their treatment. Objectives - To describe the respiratory complications that occur after surgical intervention in these patients. - To analyze the factors associated with the appearance of respiratory complications in the postoperative period of patients undergoing surgery for head and neck cancer. - To characterize the tumors of the oral cavity, pharynx, and larynx diagnosed in patients from La Rioja. - To analyze the clinical and demographic characteristics of the subgroup of patients who developed respiratory complications. - To identify the occurrence of second primary tumors and/or pulmonary metastases in these patients. Methodology A descriptive, observational, and retrospective study was conducted, including patients treated for oral cavity, pharyngeal, and laryngeal cancer in La Rioja from January 2018 to December 2021. Variables recorded included sociodemographic data, medical history, preoperative pulmonary assessment and tests, tumor characteristics, surgical treatments performed, recorded respiratory complications, and secondary lung tumors during a three-year follow-up. Results A total of 160 patients were included. 74.4% were men, with a mean age of 72 years. 69.4% had a history of smoking, and 41.2% consumed alcohol. Comorbidities were documented in 82.5%, with hypertension being the most prevalent, and COPD ranked fifth at 8.1%. Only 16% of patients underwent spirometry, and less than 2% were evaluated by a pulmonologist before surgery. Laryngeal tumors were the most frequent (56.3%), predominantly glottic (40%). Oral cavity tumors accounted for 40.7%, with 55% being women, elderly, and without tobacco or alcohol habits. Most had localized disease (86.3%), and the majority of surgical techniques were partial and transoral. Ten patients (6.2%) experienced respiratory complications. Among these, 80% were smokers, and 30% had COPD, but none were evaluated by a pulmonologist prior to surgery. Diabetes mellitus and non-epidermoid cancer types were significantly associated with complications (p < 0.05).During the two-year follow-up, 14 new lung tumors were detected (8.8%). Conclusions Approximately 6.2% of patients treated for HNC experienced respiratory complications. Although this rate is lower than reported in other studies, it is noteworthy, especially considering that 30% of these patients had a prior diagnosis of COPD higher than the 8% in the series. Furthermore, none of the patients who experienced respiratory complications were evaluated beforehand to optimize the management of their pulmonary disease. These findings highlight the importance of identifying and treating COPD in patients with HNC and underscore the need for further research in this area.","El cáncer es una de las principales causas de morbi-mortalidad en el mundo. En los últimos años la supervivencia por cáncer ha aumentado, no así en el cáncer de cabeza y cuello (CCC). El CCC es el séptimo cáncer en frecuencia a nivel global y se estima que su incidencia global aumentará de forma anual un 30% hasta 2030. Engloba a un grupo heterogéneo de tumores y esta Tesis se centra en los tumores de cavidad oral, faringe y laringe, ya que los de senos paranasales y, también, los de nasofaringe, presentan características epidemiológicas, patológicas y terapéuticas diferentes. En los últimos años se está observando una disminución en los cánceres de laringe y un incremento en los de cavidad oral y orofaringe, este último relacionado con el virus del papiloma humano. La incidencia del CCC está directamente relacionada con el consumo de tabaco y alcohol, lo que explica que los pacientes con CCC, con frecuencia, presentan comorbilidades, entre las que destaca la enfermedad pulmonar obstructiva crónica (EPOC). Distintos autores han mostrado cómo su presencia, aumenta la incidencia de complicaciones respiratorias. La relación entre el CCC, tabaquismo y EPOC debe estudiarse en detalle con el objetivo de determinar acciones que disminuyan su prevalencia y las complicaciones derivadas de su tratamiento. Objetivos - Describir las complicaciones respiratorias que tienen lugar tras la intervención quirúrgica en estos pacientes. - Analizar los factores asociados con la aparición de complicaciones respiratorias en el postoperatorio de los pacientes sometidos a cirugía por cáncer de cabeza y cuello. - Caracterizar los tumores de cavidad oral, faringe y laringe diagnosticados en los pacientes de La Rioja. - Analizar las características del grupo de pacientes que desarrollaron complicaciones respiratorias. - Identificar la aparición de segundos tumores primarios y/o metástasis pulmonares en estos pacientes. Metodología Estudio descriptivo, observacional y retrospectivo que incluye a los pacientes intervenidos por cáncer de cavidad oral, faringe y laringe en la Rioja, desde enero de 2018 hasta diciembre de 2021. Se registraron variables sociodemográficas, antecedentes médicos, valoración neumológica previa y pruebas solicitadas, las características de los tumores, los tratamientos quirúrgicos realizados, las complicaciones respiratorias registradas y los segundos tumores pulmonares tras un seguimiento de tres años. Resultados Se incluyeron 160 pacientes. El 74,4% de los pacientes eran hombres y la edad media fue de 72 años. El 69,4% presentaba hábito tabáquico y el 41,2% consumía alcohol. Un 82,5% presentaba al menos una comorbilidad, siendo la hipertensión la más prevalente y ocupando la EPOC el 5º puesto con un 8,1%. Sólo al 16% de los pacientes se le realizó una espirometría, y menos del 2% fue valorado en la consulta de neumología antes de la cirugía. Los tumores de laringe fueron los más frecuentes (56,3%) y, dentro de éstos, predominaron los glóticos (40%). Los tumores de cavidad oral representaron el 40,7%, con un 55% de mujeres, de edad avanzada y sin hábitos tabáquico ni etílico. El 86,3% tenía una enfermedad localizada y la mayoría de las técnicas quirúrgicas realizadas fueron parciales y transorales. Un total de 10 pacientes (6,2%) presentaron complicaciones respiratorias. El 80% de estos pacientes era fumadores y el 30% tenía EPOC, pero ninguno de ellos había sido valorado en la consulta de neumología antes de la intervención. La diabetes mellitus y el tipo de cáncer no epidermoide se asociaron, significativamente, con complicaciones (p < 0,05). En el seguimiento durante los dos años posteriores a la intervención, se detectaron 14 nuevos tumores pulmonares (8,8%). Conclusiones Un 6,2% de los pacientes intervenido por CCC presentó alguna complicación respiratoria. Esta tasa, aunque inferior a la encontrada en otras publicaciones, merece ser señalada, teniendo en cuenta que el 30% de estos pacientes tenía un diagnóstico previo de EPOC, tasa superior al 8% de la serie. Además, ninguno de los pacientes que tuvo una complicación respiratoria fue valorado antes de la intervención con el objetivo de optimizar el tratamiento de dicha enfermedad. Estos hallazgos destacan la importancia de la identificación y tratamiento de la EPOC en pacientes con CCC, y la necesidad de futuras investigaciones en esta área."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Complicaciones respiratorias en pacientes intervenidos por cáncer de cavidad oral, faringe y laringe en La Rioja"]}]}],"canonical_facts":{"dc:contributor":["Blanco Ramos, José Ramón (null)","Ruiz Martínez, Carlos (null)"],"dc:creator":["Zabaleta López, Marta"],"dc:date":["2025"],"dc:description":["Introduction Cancer is one of the leading causes of morbidity and mortality worldwide. In recent years, survival rates for cancer have increased; however, this is not the case for head and neck cancers (HNC). HNC is the seventh most common cancer globally, and its incidence is estimated to increase by 30% annually until 2030. It encompasses a heterogeneous group of tumors, and this thesis focuses on tumors of the oral cavity, pharynx, and larynx, as sinonasal and nasopharyngeal tumors have different epidemiological, pathological, and therapeutic characteristics. Recently, a decrease in laryngeal cancers and an increase in oral cavity and oropharyngeal cancers have been observed, the latter related to human papillomavirus (HPV). The incidence of head and neck cancer (HNC) is directly related to tobacco and alcohol consumption, which explains why patients with HNC often present with comorbidities, notably chronic obstructive pulmonary disease (COPD). Several authors have shown that the presence of COPD increases the incidence of respiratory complications. The relationship between HNC, smoking, and COPD should be studied in detail to identify actions that reduce their prevalence and the complications arising from their treatment. Objectives - To describe the respiratory complications that occur after surgical intervention in these patients. - To analyze the factors associated with the appearance of respiratory complications in the postoperative period of patients undergoing surgery for head and neck cancer. - To characterize the tumors of the oral cavity, pharynx, and larynx diagnosed in patients from La Rioja. - To analyze the clinical and demographic characteristics of the subgroup of patients who developed respiratory complications. - To identify the occurrence of second primary tumors and/or pulmonary metastases in these patients. Methodology A descriptive, observational, and retrospective study was conducted, including patients treated for oral cavity, pharyngeal, and laryngeal cancer in La Rioja from January 2018 to December 2021. Variables recorded included sociodemographic data, medical history, preoperative pulmonary assessment and tests, tumor characteristics, surgical treatments performed, recorded respiratory complications, and secondary lung tumors during a three-year follow-up. Results A total of 160 patients were included. 74.4% were men, with a mean age of 72 years. 69.4% had a history of smoking, and 41.2% consumed alcohol. Comorbidities were documented in 82.5%, with hypertension being the most prevalent, and COPD ranked fifth at 8.1%. Only 16% of patients underwent spirometry, and less than 2% were evaluated by a pulmonologist before surgery. Laryngeal tumors were the most frequent (56.3%), predominantly glottic (40%). Oral cavity tumors accounted for 40.7%, with 55% being women, elderly, and without tobacco or alcohol habits. Most had localized disease (86.3%), and the majority of surgical techniques were partial and transoral. Ten patients (6.2%) experienced respiratory complications. Among these, 80% were smokers, and 30% had COPD, but none were evaluated by a pulmonologist prior to surgery. Diabetes mellitus and non-epidermoid cancer types were significantly associated with complications (p < 0.05).During the two-year follow-up, 14 new lung tumors were detected (8.8%). Conclusions Approximately 6.2% of patients treated for HNC experienced respiratory complications. Although this rate is lower than reported in other studies, it is noteworthy, especially considering that 30% of these patients had a prior diagnosis of COPD higher than the 8% in the series. Furthermore, none of the patients who experienced respiratory complications were evaluated beforehand to optimize the management of their pulmonary disease. These findings highlight the importance of identifying and treating COPD in patients with HNC and underscore the need for further research in this area.","El cáncer es una de las principales causas de morbi-mortalidad en el mundo. En los últimos años la supervivencia por cáncer ha aumentado, no así en el cáncer de cabeza y cuello (CCC). El CCC es el séptimo cáncer en frecuencia a nivel global y se estima que su incidencia global aumentará de forma anual un 30% hasta 2030. Engloba a un grupo heterogéneo de tumores y esta Tesis se centra en los tumores de cavidad oral, faringe y laringe, ya que los de senos paranasales y, también, los de nasofaringe, presentan características epidemiológicas, patológicas y terapéuticas diferentes. En los últimos años se está observando una disminución en los cánceres de laringe y un incremento en los de cavidad oral y orofaringe, este último relacionado con el virus del papiloma humano. La incidencia del CCC está directamente relacionada con el consumo de tabaco y alcohol, lo que explica que los pacientes con CCC, con frecuencia, presentan comorbilidades, entre las que destaca la enfermedad pulmonar obstructiva crónica (EPOC). Distintos autores han mostrado cómo su presencia, aumenta la incidencia de complicaciones respiratorias. La relación entre el CCC, tabaquismo y EPOC debe estudiarse en detalle con el objetivo de determinar acciones que disminuyan su prevalencia y las complicaciones derivadas de su tratamiento. Objetivos - Describir las complicaciones respiratorias que tienen lugar tras la intervención quirúrgica en estos pacientes. - Analizar los factores asociados con la aparición de complicaciones respiratorias en el postoperatorio de los pacientes sometidos a cirugía por cáncer de cabeza y cuello. - Caracterizar los tumores de cavidad oral, faringe y laringe diagnosticados en los pacientes de La Rioja. - Analizar las características del grupo de pacientes que desarrollaron complicaciones respiratorias. - Identificar la aparición de segundos tumores primarios y/o metástasis pulmonares en estos pacientes. Metodología Estudio descriptivo, observacional y retrospectivo que incluye a los pacientes intervenidos por cáncer de cavidad oral, faringe y laringe en la Rioja, desde enero de 2018 hasta diciembre de 2021. Se registraron variables sociodemográficas, antecedentes médicos, valoración neumológica previa y pruebas solicitadas, las características de los tumores, los tratamientos quirúrgicos realizados, las complicaciones respiratorias registradas y los segundos tumores pulmonares tras un seguimiento de tres años. Resultados Se incluyeron 160 pacientes. El 74,4% de los pacientes eran hombres y la edad media fue de 72 años. El 69,4% presentaba hábito tabáquico y el 41,2% consumía alcohol. Un 82,5% presentaba al menos una comorbilidad, siendo la hipertensión la más prevalente y ocupando la EPOC el 5º puesto con un 8,1%. Sólo al 16% de los pacientes se le realizó una espirometría, y menos del 2% fue valorado en la consulta de neumología antes de la cirugía. Los tumores de laringe fueron los más frecuentes (56,3%) y, dentro de éstos, predominaron los glóticos (40%). Los tumores de cavidad oral representaron el 40,7%, con un 55% de mujeres, de edad avanzada y sin hábitos tabáquico ni etílico. El 86,3% tenía una enfermedad localizada y la mayoría de las técnicas quirúrgicas realizadas fueron parciales y transorales. Un total de 10 pacientes (6,2%) presentaron complicaciones respiratorias. El 80% de estos pacientes era fumadores y el 30% tenía EPOC, pero ninguno de ellos había sido valorado en la consulta de neumología antes de la intervención. La diabetes mellitus y el tipo de cáncer no epidermoide se asociaron, significativamente, con complicaciones (p < 0,05). En el seguimiento durante los dos años posteriores a la intervención, se detectaron 14 nuevos tumores pulmonares (8,8%). Conclusiones Un 6,2% de los pacientes intervenido por CCC presentó alguna complicación respiratoria. Esta tasa, aunque inferior a la encontrada en otras publicaciones, merece ser señalada, teniendo en cuenta que el 30% de estos pacientes tenía un diagnóstico previo de EPOC, tasa superior al 8% de la serie. Además, ninguno de los pacientes que tuvo una complicación respiratoria fue valorado antes de la intervención con el objetivo de optimizar el tratamiento de dicha enfermedad. Estos hallazgos destacan la importancia de la identificación y tratamiento de la EPOC en pacientes con CCC, y la necesidad de futuras investigaciones en esta área."],"dc:format":["application/pdf"],"dc:identifier":["https://dialnet.unirioja.es/servlet/oaites?codigo=394336"],"dc:language":["spa"],"dc:publisher":["Universidad de La Rioja (España)"],"dc:rights":["LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI"],"dc:title":["Complicaciones respiratorias en pacientes intervenidos por cáncer de cavidad oral, faringe y laringe en La Rioja"],"dc:type":["text (thesis)"]},"updated_at":"2026-07-24T06:27:11Z"}