Treatment outcomes in patients with laryngotracheal lesions and compromised airway during and prior to the coronovirus disease 2019 pandemic: a tertiary institution's experience.

Details

Serval ID
serval:BIB_008A94F71C59
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Treatment outcomes in patients with laryngotracheal lesions and compromised airway during and prior to the coronovirus disease 2019 pandemic: a tertiary institution's experience.
Journal
The Journal of laryngology and otology
Author(s)
Gombert E., Ishii A., Guilcher P., Gorostidi F., Cantarella G., Pignataro L., Sandu K. (co-last)
ISSN
1748-5460 (Electronic)
ISSN-L
0022-2151
Publication state
Published
Issued date
10/2021
Peer-reviewed
Oui
Volume
135
Number
10
Pages
897-903
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This study aimed to compare treatment outcomes in patients with laryngeal and tracheal stenosis treated during and prior to the coronavirus disease 2019 pandemic period.
Patients treated for laryngotracheal lesions with impending airway compromise during the active pandemic period were matched with those treated for similar lesions in the preceding years in a monocentric tertiary hospital setting.
During the pandemic period of 55 days, 31 patients underwent 47 procedures. Seven patients (2 children, 5 adults) had open airway surgery, and one had an operation-specific complication. Twenty-four patients (10 children, 14 adults) underwent 40 endoscopic interventions without any complications. Operation specific results during and prior to the pandemic were comparable.
The management strategy in patients with laryngotracheal lesions and impending airway compromise should not be altered during periods of risk from coronavirus disease 2019. Avoiding a tracheostomy by performing primary corrective surgery or proceeding with a definitive decannulation would be beneficial in these patients to reduce the risk of contagion.
Keywords
Adult, Aged, COVID-19/diagnosis, COVID-19/epidemiology, COVID-19/transmission, COVID-19/virology, Catheterization/adverse effects, Child, Preschool, Clinical Decision-Making/ethics, Endoscopy/adverse effects, Endoscopy/statistics & numerical data, Female, Humans, Laryngostenosis/surgery, Male, Postoperative Complications/epidemiology, Retrospective Studies, SARS-CoV-2/genetics, Tertiary Care Centers/statistics & numerical data, Tracheal Stenosis/surgery, Tracheostomy/adverse effects, Treatment Outcome, COVID-19, Laryngotracheal Stenosis, Tracheostomy
Pubmed
Web of science
Open Access
Yes
Create date
01/10/2021 16:31
Last modification date
21/12/2022 6:52
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