PMID- 32851070 OWN - NLM STAT- MEDLINE DCOM- 20210429 LR - 20220416 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2020 DP - 2020 TI - Effects of Antiacid Therapy on Granuloma after Transoral Type IV-VI Cordectomy in Patients with Early-Stage Glottic Cancer. PG - 4178376 LID - 10.1155/2020/4178376 [doi] LID - 4178376 AB - OBJECTIVE: To investigate whether preventive administration of a proton pump inhibitor (PPI) can reduce the occurrence and development of traumatic granuloma (TG) following type IV-VI cordectomy. METHODS: We retrospectively analyzed the status of postoperative granulomas in 37 patients who underwent type IV-VI cordectomy due to glottic cancer and determined whether postoperative administration of a PPI had any impact on granuloma formation and development. RESULTS: The percentage and number of patients with granuloma in the PPI treatment group (experimental group) at the 1st, 2nd, 3rd, and 6th month following surgery were 81.25% (13/16), 25.00% (4/16), 18.75% (3/16), and 0.00% (0/16), respectively. The percentage and number of patients with granuloma in the no-PPI group (control group) were 95.24% (20/21), 71.43% (15/21), 52.38% (11/21), and 14.29% (3/21), respectively. The granuloma percentage of the PPI treatment group was lower than that of the control group at all postoperative time points assessed. The differences were not statistically significant at the 1st month (p = 0.175) but were statistically significant at the 2nd and 3rd months after surgery (p = 0.005, p = 0.037). CONCLUSION: Preventive use of a PPI in patients after type IV-VI cordectomy can shorten the TG recovery duration and may reduce the severity of TG, but it cannot prevent TG from occurring. Our results should be confirmed by prospective randomized controlled trials with large sample sizes. CI - Copyright (c) 2020 Xiaofeng Jin et al. FAU - Jin, Xiaofeng AU - Jin X AUID- ORCID: 0000-0003-3140-9389 AD - Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100005, China. AD - Department of Otolaryngology, The First Affiliated Hospital of Xinjiang Medical University, Urumchi, 830011 Xinjiang Uygur Autonomous Region, China. FAU - Niu, Yanyan AU - Niu Y AUID- ORCID: 0000-0001-7275-2787 AD - Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100005, China. FAU - Gu, Wei AU - Gu W AD - Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100005, China. FAU - Wang, Jian AU - Wang J AUID- ORCID: 0000-0002-6261-7829 AD - Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100005, China. LA - eng PT - Journal Article DEP - 20200810 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0 (Proton Pump Inhibitors) SB - IM MH - Adult MH - Aged MH - Combined Modality Therapy MH - Female MH - Glottis/drug effects/pathology/*surgery MH - Granuloma/*drug therapy/pathology/surgery MH - Humans MH - Laryngeal Neoplasms/*drug therapy/pathology/surgery MH - Laser Therapy MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Postoperative Period MH - Progression-Free Survival MH - Proton Pump Inhibitors/*administration & dosage MH - Retrospective Studies MH - Treatment Outcome MH - Vocal Cords/pathology/surgery MH - Voice Quality PMC - PMC7436350 COIS- The authors declare that they have no conflicts of interest (financial or nonfinancial) to disclose. EDAT- 2020/08/28 06:00 MHDA- 2021/04/30 06:00 PMCR- 2020/08/10 CRDT- 2020/08/28 06:00 PHST- 2020/03/31 00:00 [received] PHST- 2020/07/13 00:00 [revised] PHST- 2020/07/18 00:00 [accepted] PHST- 2020/08/28 06:00 [entrez] PHST- 2020/08/28 06:00 [pubmed] PHST- 2021/04/30 06:00 [medline] PHST- 2020/08/10 00:00 [pmc-release] AID - 10.1155/2020/4178376 [doi] PST - epublish SO - Biomed Res Int. 2020 Aug 10;2020:4178376. doi: 10.1155/2020/4178376. eCollection 2020.