Evidence map›Paper›PMID 42457570›Full record

ArticleThe Laryngoscope2026

Effects of Intubation Duration on Trachea: A Histopathological Study.

Osman Kilic, Serdal Celik, Cemal Gundogdu, Berina Slipcevic, Ayse Yasemin Gunduz, Hamdi Sirac Gundogdu, M Tayyar Kalcioglu

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Osman KilicENT Clinic, Göztepe Prof. Dr. Süleyman Yalcin City Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0000-0001-5352-1035
Serdal CelikENT Clinic, Göztepe Prof. Dr. Süleyman Yalcin City Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0000-0001-8469-1547
Cemal GundogduDepartment of Medical Pathology, Medicana International Istanbul Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0000-0003-2857-923X
Berina SlipcevicENT Clinic, Göztepe Prof. Dr. Süleyman Yalcin City Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0009-0000-4612-3071
Ayse Yasemin GunduzENT Clinic, Göztepe Prof. Dr. Süleyman Yalcin City Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0000-0003-3812-6947
Hamdi Sirac GundogduENT Clinic, Göztepe Prof. Dr. Süleyman Yalcin City Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0009-0003-1434-789X
M Tayyar KalciogluENT Clinic, Göztepe Prof. Dr. Süleyman Yalcin City Hospital, İstanbul, Türkiye.ORCID https://orcid.org/0000-0002-6803-5467

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze tracheal specimens obtained during tracheotomy in patients with prolonged intubation and investigate the relationship between intubation duration and the development of histopathological damage.

methodsForty-six adult patients undergoing surgical tracheotomy were categorized into three groups based on intubation duration: 7-14 days (Group A), 15-28 days (Group B), and ≥ 29 days (Group C). The control group comprised 20 patients with laryngeal cancer who underwent laryngectomy and tracheotomy. Tracheal specimens obtained during routine procedures were subjected to histopathological evaluation.

resultsSignificant differences were observed between the intubated groups and the control group in terms of ulceration, inflammatory cell infiltration, granulation tissue formation, microabscess formation, dilatation, neovascularization, desmoplasia, degeneration, perichondritis, and calcification. The incidence of dilatation and perichondritis increased significantly with longer intubation duration.

conclusionProlonged endotracheal intubation is associated with various histopathological changes in the trachea. Given that histopathological injury and complication rates increase with intubation duration, performing tracheotomy within the first 14 days may be considered. LEVEL OF EVIDENCE: 3:

Indexed as

Intubation, IntratrachealTracheaTracheotomyAdultAgedFemaleHumansLaryngectomyMaleMiddle AgedTime Factorsdilatationendotracheal intubationhistopathologyinflammationtracheotomy

Identifiers

PMID42457570
PMCPMC13669980

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Registered trials

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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.