Evidence map›Paper›PMID 39127881›Full record

ArticleThe Annals of otology, rhinology, and laryngology2024

COVID-19 Related Tracheal Stenosis Requiring Tracheal Resection: A Case Series.

Andrew Yousef, Isaac Solomon, George Cheng, Samir Makani, Joshua Boys, Philip A Weissbrod

Abstract read
In one paragraph

Article in The Annals of otology, rhinology, and laryngology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Andrew YousefDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Diego, San Diego, CA, USA.ORCID 0000-0002-3126-1655
Isaac SolomonDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Diego, San Diego, CA, USA.
George ChengDivision of Pulmonology, Critical Care, Sleep Medicine and Physiology, University of California, San Diego, San Diego, CA, USA.
Samir MakaniDepartment of Pulmonology and Critical Care Medicine, Scripps Hospital Encinitas, Encinitas, CA, USA.
Joshua BoysDivision of Cardiothoracic Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Philip A WeissbrodDepartment of Otolaryngology-Head and Neck Surgery, University of California, San Diego, San Diego, CA, USA.

Funding

Otolaryngology Training in Immunology, Virology and Molecular BiologyR25DC020173 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joseph A Califano · 2022 to 2026
$1.4M
NIDCD NIH HHS R25 DC020173
6 · The paper itself

Abstract

objectiveTo characterize the preoperative and intraoperative findings of symptomatic tracheal stenosis associated with COVID-19 related respiratory failure requiring tracheal resection.

methodWe performed a retrospective review identifying all patients with a history of tracheal stenosis secondary to COVID-19 related respiratory failure who subsequently received a tracheal resection at our institution between January 2020 and June 2023. Clinical, radiological, pathological, and surgical characteristics were recorded to describe and characterize pre-operative and intraoperative findings associated with tracheal stenosis in the setting of a previous COVID-19 infection.

resultsWe retrospectively reviewed 11 patients with COVID-19 related tracheal stenosis that required open tracheal or cricotracheal resection. The mean age was 54.1. Patients were hospitalized for a mean of 49.5 days related to COVID-19 complications. Tracheotomy was completed in 10 patients (90.9%) during their initial hospitalization with COVID-19 related respiratory failure. Patients were intubated a mean of 18.6 days prior to tracheotomy completion. Ten patients (90.9%) underwent endoscopic operative interventions for their tracheal stenosis prior to open resection. Intraoperatively, the mean stenosis length was 3.33 cm. The mean tracheal resection length was 3.96 cm. Patients were hospitalized for a mean of 8.27 days post operatively with no significant post operative complications.

conclusionsSymptomatic tracheal stenosis in the setting of prolonged intubation due to COVID-19 is an under-described etiology. This is one of the largest single institution retrospective reviews that identifies 11 patients with prolonged intubation who developed symptomatic tracheal stenosis refractory to conservative management and ultimately requiring tracheal resection.

Indexed as

COVID-19Tracheal StenosisTracheotomyAdultAgedFemaleHumansMaleMiddle AgedRespiratory InsufficiencyRetrospective StudiesSARS-CoV-2TracheaCoronavirusCOVID-19tracheal resectiontracheal stenosis

Identifiers

PMID39127881
PMCPMC12064082

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