Use of the Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity ('P-POSSUM') to predict morbidity in patients undergoing surgery with reconstruction for temporal bone malignancy. Issue 12 (26th December 2022)

• Record Type: Journal Article
• Authors: Jones, H; Gendre, A; McHugh, A; Hintze, J; O'Sullivan, B; Martin, F; McConn-Walsh, R; O'Neill, J P; Shine, N
• Is Part Of: Journal of laryngology & otology. Volume 136:Issue 12(2022)
• Page Start: 1271
• Page End: 1274
• Publication Date: 2022-12-26
• Subjects: Morbidity -- Temporal Bone -- Postoperative Complications -- Risk Factors; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215122000767
• Languages: English
• ISSNs: 0022-2151

Abstract

Abstract: Objective: 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. Method: 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. Results: 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. Conclusion: 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.