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Airway management during transoral robotic surgery for head and neck cancers: a French GETTEC group survey.
Poissonnet, Valentine; Chabrillac, Emilien; Schultz, Philippe; Morinière, Sylvain; Gorphe, Philippe; Baujat, Bertrand; Garrel, Renaud; Lasne-Cardon, Audrey; Villeneuve, Alexandre; Chambon, Guillaume; Fakhry, Nicolas; Aubry, Karine; Dufour, Xavier; Malard, Olivier; Mastronicola, Romina; Vairel, Benjamin; Gallet, Patrice; Ceruse, Philippe; Jegoux, Franck; Ton Van, Jean; De Bonnecaze, Guillaume; Vergez, Sébastien.
Afiliação
  • Poissonnet V; Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.
  • Chabrillac E; Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.
  • Schultz P; Otolaryngology, Head and Neck Surgery Department, Hautepierre Hospital, Strasbourg, France.
  • Morinière S; Otolaryngology, Head and Neck Surgery Department, University Hospital Bretonneau, Tours, France.
  • Gorphe P; Otolaryngology, Head and Neck Surgery Department, Gustave Roussy Institute, Villejuif, France.
  • Baujat B; Otolaryngology, Head and Neck Surgery Department, Tenon Hospital, Paris, France.
  • Garrel R; Otolaryngology, Head and Neck Surgery Department, University Hospital of Montpellier, Montpellier, France.
  • Lasne-Cardon A; Otolaryngology, Head and Neck Surgery Department, François Baclesse Centre, Caen, France.
  • Villeneuve A; Otolaryngology, Head and Neck Surgery Department, Georges-Pompidou European Hospital, Paris, France.
  • Chambon G; Otolaryngology, Head and Neck Surgery Department, University Hospital of Nîmes, Nîmes, France.
  • Fakhry N; Otolaryngology, Head and Neck Surgery Department, University Hospital of Marseille, Marseille, France.
  • Aubry K; Otolaryngology, Head and Neck Surgery Department, University Hospital Dupuytren, Limoges, France.
  • Dufour X; Otolaryngology, Head and Neck Surgery Department, University Hospital of Poitiers, Poitiers, France.
  • Malard O; Otolaryngology, Head and Neck Surgery Department, University Hospital of Nantes, Nantes, France.
  • Mastronicola R; Surgical Oncology, Head and Neck Surgery Department, Lorraine Oncology Institute, Vandoeuvre-lès-Nancy, France.
  • Vairel B; Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.
  • Gallet P; Otolaryngology, Head and Neck Surgery Department, University Hospital of Nancy, Nancy, France.
  • Ceruse P; Otolaryngology, Head and Neck Surgery Department, University Hospital Lyon Sud, Lyon, France.
  • Jegoux F; Otolaryngology, Head and Neck Surgery Department, Pontchaillou Hospital, Rennes, France.
  • Ton Van J; Surgical Oncology Head and Neck Surgery Department, Oscar Lambret Centre, Lille, France.
  • De Bonnecaze G; Otolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Hôpital Larrey, Toulouse, France.
  • 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.
Eur Arch Otorhinolaryngol ; 279(7): 3619-3627, 2022 Jul.
Article em En | MEDLINE | ID: mdl-35066651
ABSTRACT

PURPOSE:

The aim of the survey was to define the indications for preventive tracheostomy in transoral robotic surgery (TORS) for head and neck cancers.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Robóticos / Neoplasias de Cabeça e Pescoço Tipo de estudo: Guideline / Observational_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Procedimentos Cirúrgicos Robóticos / Neoplasias de Cabeça e Pescoço Tipo de estudo: Guideline / Observational_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article