{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:54:21Z","timestamp":1747184061259,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T00:00:00Z","timestamp":1652832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To analyse the relationship between spirometric parameters measured with a face mask versus a mouthpiece, as well as the feasibility of face mask spirometric evaluation in a head and neck surgery (HNS) decannulation context. Furthermore, we examine peak inspiratory flow (PIF) cut\u2010off values before and after decannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otolaryngology HNS Department of a university teaching hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Twenty\u2010four patients were selected. A maximal flow\u2010volume loop was conducted before (with mouthpiece) and after (with mouthpiece and face mask) decannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Recorded outcomes were forced vital capacity (FVC), forced expiratory volume in the first second, peak expiratory flow, PIF, forced expiratory flow at 50% of FVC and forced inspiratory flow at 50% of FVC. Spearman correlation coefficients between spirometric parameters measured with a face mask versus a mouthpiece were calculated. Wilcoxon test was used to check differences between mouthpiece and face mask values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Correlation between mouthpiece and face mask spirometric values was moderate to high (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.46\u20130.95). All parameters measured by spirometry were significantly lower with a face mask than those obtained with a mouthpiece (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). Before decannulation, the lowest PIF value (tested with mouthpiece) that allowed successful decannulation was 1\u00a0L\/s. After decannulation, the lowest PIF value tested with mouthpiece and face mask for successful completion of the decannulation process were 0.77 and 0.56\u2009L\/s, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Face mask is a feasible option to perform a spirometry when face diseases hinder spirometric evaluation through a mouthpiece in an HNC surgery context.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13938","type":"journal-article","created":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T07:19:30Z","timestamp":1651735170000},"page":"521-528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of face mask spirometry during decannulation in head and neck surgery: Prospective cohort study"],"prefix":"10.1111","volume":"47","author":[{"given":"Jos\u00e9 Antonio","family":"S\u00e1nchez\u2010Guerrero","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head Neck Surgery Faculty Medicine, Assistance Publique H\u00f4pitaux Paris (APHP), Sorbonne University  Paris France"},{"name":"Department of Physiotherapy Universidad Cardenal Herrera\u2010CEU, CEU Universities  Alfara del Patriarca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8803-3963","authenticated-orcid":false,"given":"Maria \u00c0ngels","family":"Cebri\u00e0 i Iranzo","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Universitat de Val\u00e8ncia  Valencia Spain"},{"name":"Rehabilitation and Physical Medicine Service Hospital Universitari i Polit\u00e8cnic La Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9016-5543","authenticated-orcid":false,"given":"Francisco Jos\u00e9","family":"Ferrer\u2010Sargues","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Universidad Cardenal Herrera\u2010CEU, CEU Universities  Alfara del Patriarca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"P\u00e9ri\u00e9","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head Neck Surgery Faculty Medicine, Assistance Publique H\u00f4pitaux Paris (APHP), Sorbonne University  Paris France"},{"name":"Department of Otolaryngology Head and Neck Surgery Com Maillot \u2010 Hartmann Clinic  Neuilly Sur Seine 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