Evidence map›Paper›PMID 41892156›Full record

ArticleEuropean burn journal2026

Surgical Management of Tracheostomy in Patients with Severe Burns and Cervical Involvement: Impact on Cervical Wound-Healing Disturbance.

Julien-Moritz Thielmann, Wolfram Heitzmann, Michael Ried, Jan-Philipp Stromps, Maria von Kohout, Paul Christian Fuchs, Till Markowiak

Abstract read
In one paragraph

Article in European burn journal, 2026. 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julien-Moritz ThielmannDepartment of Plastic, Reconstructive, Hand and Burn Surgery, Cologne-Merheim Medical Center (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, 51109 Köln, Germany.
Wolfram HeitzmannDepartment of Plastic, Reconstructive, Hand and Burn Surgery, Cologne-Merheim Medical Center (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, 51109 Köln, Germany.
Michael RiedDepartment of Thoracic Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0002-2365-4803
Jan-Philipp StrompsDepartment of Plastic, Reconstructive, Hand and Burn Surgery, Cologne-Merheim Medical Center (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, 51109 Köln, Germany.
Maria von KohoutDepartment of Plastic, Reconstructive, Hand and Burn Surgery, Cologne-Merheim Medical Center (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, 51109 Köln, Germany.
Paul Christian FuchsDepartment of Plastic, Reconstructive, Hand and Burn Surgery, Cologne-Merheim Medical Center (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, 51109 Köln, Germany.ORCID 0000-0001-6399-9956
Till MarkowiakDepartment of Plastic, Reconstructive, Hand and Burn Surgery, Cologne-Merheim Medical Center (CMMC), Witten/Herdecke University, Campus Cologne-Merheim, 51109 Köln, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMajor cervical burns often require tracheostomy (TT); however, it remains unclear whether TT timing relative to cervical wound coverage (WC) and the choice of coverage modality affect peristomal wound healing.

methodsIn this retrospective single-center cohort study, we included 48 adults with thermally induced cervical burns who underwent TT between 2015 and 2024 in a specialized burn ICU. Eleven patients died before decannulation and were excluded from the primary endpoint analysis. Cervical wound-healing disturbance (CWHD) as a primary endpoint was assessed in the remaining 37 patients, including 13 treated with advanced cervical dressings and 24 treated with split-thickness skin grafts (STSG).

resultsCWHD occurred in 2/13 (15.4%) with advanced dressings and 11/24 (45.8%) after STSG. Within the grafted subgroup, complication rates did not differ significantly according to TT sequencing relative to WC, TT-WC interval, grafting technique (mesh vs. Meek), or tracheostoma closure method (all

conclusionIn patients with cervical burns requiring TT, burn depth/severity, rather than TT timing, grafting strategy, or closure technique, appears to drive peristomal wound complications, supporting individualized planning instead of rigid algorithms.

Indexed as

cervical burnssplit-thickness skin graftingtracheostomywound-healing disturbances

Identifiers

PMID41892156
PMCPMC13024944

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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.