Airway management during transoral robotic surgery for head and neck cancers: a French GETTEC group survey.

Head and Neck Neoplasms / surgery Humans Retrospective Studies Robotic Surgical Procedures / methods Surveys and Questionnaires Tracheostomy
Airway management Head and neck cancer Tracheostomy Transoral robotic surgery

Journal

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 11 06 2021
accepted: 15 11 2021
pubmed: 24 1 2022
medline: 27 5 2022
entrez: 23 1 2022
Statut: ppublish

Résumé

The aim of the survey was to define the indications for preventive tracheostomy in transoral robotic surgery (TORS) for head and neck cancers. From October 2019 to January 2020, an online questionnaire was e-mailed to French surgical ENT teams with considerable experience of the TORS procedure (Gettec group). A descriptive analysis of the answers was performed. Eighteen French surgical teams answered the questionnaire. For 77.8% of the surgical teams, a past history of radiotherapy with residual edema was an indication for prophylactic tracheostomy, and for 88.9%, > 75 mg of antiplatelet medication or anticoagulation treatment was an indication. Early preventive tracheostomy during TORS can protect airway from uncommon but potentially life-threatening complications, such as transoral hemorrhage or airway edema. We recommend it in high-risk situations, such as a past history of radiotherapy or antiplatelet therapy associated with large resections. Further studies are needed to establish evidence-based recommendations.

Identifiants

DOI: 10.1007/s00405-021-07188-4 PMID: 35066651
pubmed: 35066651
doi: 10.1007/s00405-021-07188-4
pii: 10.1007/s00405-021-07188-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3619-3627

Informations de copyright

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Valentine Poissonnet (V)

Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.

Emilien Chabrillac (E)

Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.

Philippe Schultz (P)

Otolaryngology, Head and Neck Surgery Department, Hautepierre Hospital, Strasbourg, France.

Sylvain Morinière (S)

Otolaryngology, Head and Neck Surgery Department, University Hospital Bretonneau, Tours, France.

Philippe Gorphe (P)

Otolaryngology, Head and Neck Surgery Department, Gustave Roussy Institute, Villejuif, France.

Bertrand Baujat (B)

Otolaryngology, Head and Neck Surgery Department, Tenon Hospital, Paris, France.

Renaud Garrel (R)

Otolaryngology, Head and Neck Surgery Department, University Hospital of Montpellier, Montpellier, France.

Audrey Lasne-Cardon (A)

Otolaryngology, Head and Neck Surgery Department, François Baclesse Centre, Caen, France.

Alexandre Villeneuve (A)

Otolaryngology, Head and Neck Surgery Department, Georges-Pompidou European Hospital, Paris, France.

Guillaume Chambon (G)

Otolaryngology, Head and Neck Surgery Department, University Hospital of Nîmes, Nîmes, France.

Nicolas Fakhry (N)

Otolaryngology, Head and Neck Surgery Department, University Hospital of Marseille, Marseille, France.

Karine Aubry (K)

Otolaryngology, Head and Neck Surgery Department, University Hospital Dupuytren, Limoges, France.

Xavier Dufour (X)

Otolaryngology, Head and Neck Surgery Department, University Hospital of Poitiers, Poitiers, France.

Olivier Malard (O)

Otolaryngology, Head and Neck Surgery Department, University Hospital of Nantes, Nantes, France.

Romina Mastronicola (R)

Surgical Oncology, Head and Neck Surgery Department, Lorraine Oncology Institute, Vandoeuvre-lès-Nancy, France.

Benjamin Vairel (B)

Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.

Patrice Gallet (P)

Otolaryngology, Head and Neck Surgery Department, University Hospital of Nancy, Nancy, France.

Philippe Ceruse (P)

Otolaryngology, Head and Neck Surgery Department, University Hospital Lyon Sud, Lyon, France.

Franck Jegoux (F)

Otolaryngology, Head and Neck Surgery Department, Pontchaillou Hospital, Rennes, France.

Jean Ton Van (J)

Surgical Oncology Head and Neck Surgery Department, Oscar Lambret Centre, Lille, France.

Guillaume De Bonnecaze (G)

Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.

Sébastien Vergez (S)

Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France. vergez.s@chu-toulouse.fr.
Otolaryngology, Head and Neck Surgery Department, University Hospital Larrey, 24 chemin de Pouvourville, 31059, Toulouse Cedex 9, France. vergez.s@chu-toulouse.fr.
ORCID: 0000-0003-4081-3922

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Classifications MeSH

questionsmedicales.fr › Tumeurs › Tumeurs par siège › Tumeurs de la tête et du cou › Airway management during transoral robotic...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Airway management during transoral robotic...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Airway management during transoral robotic...
questionsmedicales.fr › Technologie, industrie et agriculture › Technologie › Automatisation › Interventions chirurgicales robotisées › Airway management during transoral robotic...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Airway management during transoral robotic...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie thoracique › Trachéostomie › Airway management during transoral robotic...