Yagiz Agayarov Ozlem, Arslan Ilker Burak, Gumussoy Murat, Guclu Gulay, Cukurova Ibrahim
Department of Otolaryngology, Head and Neck Surgery, Tepecik Training and Research Hospital, Health Sciences University, Izmir, TUR.
Cureus. 2023 Aug 24;15(8):e44015. doi: 10.7759/cureus.44015. eCollection 2023 Aug.
Objective This study aims to investigate the impact of the COVID-19 pandemic on urgent awake tracheotomies (UATs) in adults in a reference center. Methodology During the pandemic (between March 2020 and May 2022) and before the pandemic (between January 2018 and March 2020), medical charts of patients who underwent UATs were reviewed. The analysis focused on demographic characteristics, indications, COVID-19 positivity status, surgical procedures, and complications. Results During the pandemic, 67 UATs (age 62.04 ± 11.9 years) were performed. Of the indications, 56 (83.5%) were malignancy. Before the pandemic, 22 UATs (age 63.86 ± 15.1 years) were performed, of which 14 UATs (63.6%) were due to malignancy. There was a significant increase in UATs and their indications in patients with head and neck malignancies (< 0.05). Stay suture (65, 97%) and suture ligation of the thyroidal isthmus (61, 91%) were significantly performed during the pandemic (< 0.05). Conclusions A significant increase in UAT was detected, especially in patients with advanced head and neck cancer. Pandemic conditions and the risk of viral transmission have led to more conservative UAT techniques.
目的 本研究旨在调查新冠疫情对一家参考中心成年患者紧急清醒气管切开术（UAT）的影响。方法 在疫情期间（2020年3月至2022年5月）以及疫情之前（2018年1月至2020年3月），对接受UAT的患者病历进行回顾。分析重点关注人口统计学特征、手术指征、新冠病毒检测阳性状况、手术操作及并发症。结果 在疫情期间，共进行了67例UAT（年龄62.04±11.9岁）。在手术指征方面，56例（83.5%）为恶性肿瘤。在疫情之前，共进行了22例UAT（年龄63.86±15.1岁），其中14例（63.6%）是由恶性肿瘤导致。头颈部恶性肿瘤患者的UAT及其手术指征显著增加（<0.05）。在疫情期间，留置缝线（65例，97%）和甲状腺峡部缝扎（61例，91%）的操作显著增多（<0.05）。结论 检测到UAT显著增加，尤其是在晚期头颈部癌症患者中。疫情状况及病毒传播风险导致了更保守的UAT技术。
