Evidence map›Paper›PMID 32506145›Full record

ReviewEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021

Long-term intubation and high rate of tracheostomy in COVID-19 patients might determine an unprecedented increase of airway stenoses: a call to action from the European Laryngological Society.

Cesare Piazza, Marta Filauro, Frederik G Dikkers, S A Reza Nouraei, Kishore Sandu, Christian Sittel, Milan R Amin, Guillermo Campos, Hans E Eckel, Giorgio Peretti

Open access · hybridAbstract readReview
In one paragraph

Review in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
18.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Is COVID-19 Infection A Risk Factor for Intubation-Related Acquired Airway Stenosis?Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  3. Article
  4. Article
  5. Intubated COVID-19 Patients More Likely to Develop Subglottic Stenosis.Laryngoscope investigative otolaryngology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. COVID-19 Related Tracheal Stenosis Requiring Tracheal Resection: A Case Series.The Annals of otology, rhinology, and laryngology · 2024
    Article
  13. Article
  14. Article
  15. Airway collapse hinders recovery in bronchoscopy therapy for postintubation tracheal stenosis patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  16. Article
  17. Observational
  18. Open airway surgery for post-COVID laryngotracheal stenosis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Article
  19. Article
  20. Article

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 8 countries.

Cesare PiazzaDepartment of Otorhinolaryngology, Maxillofacial and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of Milan, Via Giacomo Venezian 1, 20133, Milan, Italy.
Marta FilauroDepartment of Otorhinolaryngology, Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy. mfilauro@yahoo.com.ORCID http://orcid.org/0000-0002-6000-3006
Frederik G DikkersDepartment of Otorhinolaryngology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
S A Reza NouraeiThe Robert White Centre for Airway Voice and Swallowing, Poole Hospital NHS Foundation Trust, Poole, UK.
Kishore SanduDepartment of Otorhinolaryngology, Lausanne University Hospital CHUV, 1011, Lausanne, Switzerland.
Christian SittelDepartment of Otorhinolaryngology, Head and Neck Surgery, Katharinenhospital, Kriegsbergstrasse 60, 70174, Stuttgart, Germany.
Milan R AminDepartment of Otolaryngology, Head and Neck Surgery, NYU Grossman School of Medicine, New York, NY, USA.
Guillermo CamposDepartment of Surgery, Instituto de Laringologia, Fundacion Santa Fe University Hospital, Bogotà, DC, Colombia.
Hans E EckelDepartment of Otorhinolaryngology, Klagenfurt General Hospital, Feschnigstrasse 11, 9026, Klagenfurt am Worthersee, Austria.
Giorgio PerettiDepartment of Otorhinolaryngology, Head and Neck Surgery, IRCCS Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy.
Ospedale Policlinico San Martino · ITAmsterdam University Medical Centers · NLFundación Santa Fe de Bogotá · COKatharinenhospital · DEKlinikum Klagenfurt · ATNew York University · USPoole Hospital NHS Foundation Trust · GBUniversity of Lausanne · CHUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe novel Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2, may need intensive care unit (ICU) admission in up to 12% of all positive cases for massive interstitial pneumonia, with possible long-term endotracheal intubation for mechanical ventilation and subsequent tracheostomy. The most common airway-related complications of such ICU maneuvers are laryngotracheal granulomas, webs, stenosis, malacia and, less commonly, tracheal necrosis with tracheo-esophageal or tracheo-arterial fistulae. MATERIALS AND

methodsThis paper gathers the opinions of experts of the Laryngotracheal Stenosis Committee of the European Laryngological Society, with the aim of alerting the medical community about the possible rise in number of COVID-19-related laryngotracheal stenosis (LTS), and the aspiration of paving the way to a more rationale concentration of these cases within referral specialist airway centers.

resultsA range of prevention strategies, diagnostic work-up, and therapeutic approaches are reported and framed within the COVID-19 pandemic context.

conclusionsOne of the most important roles of otolaryngologists when encountering airway-related signs and symptoms in patients with previous ICU hospitalization for COVID-19 is to maintain a high level of suspicion for LTS development, and share it with colleagues and other health care professionals. Such a condition requires specific expertise and should be comprehensively managed in tertiary referral centers.

Indexed as

Airway ManagementConstriction, PathologicCOVID-19FemaleHumansIntensive Care UnitsIntubation, IntratrachealLaryngostenosisMaleOtolaryngologistsOtolaryngologyPandemicsRespiration, ArtificialSARS-CoV-2Societies, MedicalTracheal StenosisAirway teamCOVID-19European laryngological societyIntubation injuriesLaryngotracheal stenosisPreventionTracheostomy

Identifiers

PMID32506145
PMCPMC7275663
OpenAlexW3033308446

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.