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J Laryngol Otol ; 135(10): 897-903, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1368885

ABSTRACT

OBJECTIVE: This study aimed to compare treatment outcomes in patients with laryngeal and tracheal stenosis treated during and prior to the coronavirus disease 2019 pandemic period. METHOD: Patients 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. RESULTS: During 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. CONCLUSION: The 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.


Subject(s)
COVID-19/transmission , Endoscopy/statistics & numerical data , Laryngostenosis/surgery , Tracheal Stenosis/surgery , Adult , Aged , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/virology , Catheterization/adverse effects , Child, Preschool , Clinical Decision-Making/ethics , Endoscopy/adverse effects , Female , Humans , Male , Postoperative Complications/epidemiology , Retrospective Studies , SARS-CoV-2/genetics , Tertiary Care Centers/statistics & numerical data , Tracheostomy/adverse effects , Treatment Outcome
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