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

ObjectiveThis study aimed to compare treatment outcomes in patients with laryngeal and tracheal stenosis treated during and prior to the coronavirus disease 2019 pandemic period.MethodPatients treated for laryngotracheal lesions with impending airway compromise during the active pandemic period were...

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Bibliographic Details
Published in:Journal of laryngology and otology 2021-10, Vol.135 (10), p.897-903
Main Authors: Gombert, E, Ishii, A, Guilcher, P, Gorostidi, F, Cantarella, G, Pignataro, L, Sandu, K
Format: Article
Language:English
Subjects:
Adults
Cartilage
Children
Congenital diseases
Coronaviruses
COVID-19
Endoscopy
Hospitals
Intensive care
Intubation
Lesions
Main
Main Articles
Nosocomial infections
Ostomy
Pandemics
Paralysis
Patients
Polymerase chain reaction
Respiratory tract
Severe acute respiratory syndrome coronavirus 2
Stenosis
Surgery
Surgical outcomes
Thyroid cancer
Tracheostomy
Tracheotomy
Trauma
Ultrasonic imaging
Ventilators
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Summary:ObjectiveThis study aimed to compare treatment outcomes in patients with laryngeal and tracheal stenosis treated during and prior to the coronavirus disease 2019 pandemic period.MethodPatients 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.ResultsDuring 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.ConclusionThe 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.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215121002140