Rajnish Nagarkar1, Gauri Kokane2, Ashvin Wagh3, Nayana Kulkarni4, Sirshendu Roy5, Ravindra Tandale1, Samadhan Pawar6. 1. HCG Manavata Cancer Centre, Nashik, Nashik, India. 2. Head and Neck Surgical Oncology, Oral and Maxillofacial Surgery, HCG Manavata Cancer Centre, Nashik, Nashik, India. gaurikkn@gmail.com. 3. Head and Neck Surgical Oncology, Oral and Maxillofacial Surgery, HCG Manavata Cancer Centre, Nashik, Nashik, India. 4. Department of Anaesthesia, HCG Manavata Cancer Centre, Nashik, Nashik, India. 5. General Surgery, HCG Manavata Cancer Centre, Nashik, Nashik, India. 6. Radiology, HCG Manavata Cancer Centre, Nashik, Nashik, India.
Abstract
BACKGROUND: The aim of this study was to conduct a retrospective analysis of modalities of airway management and its impact on patients undergoing head and neck cancer surgeries. MATERIALS AND METHODS: A retrospective review of the medical record of 500 patients operated from January 2008 to December 2013 was conducted at our institute. Patients were reviewed for a mode of airway management, a total length of post-operative hospital stay (PLOS), and incidence of elderly patients in the total number of head and neck cancer surgeries posted for various diagnostic and definitive treatments. RESULTS: Out of 500 patients, 462 patients (92.4%) underwent nasal intubation, of which 320 underwent fiberoptic (FO) intubation (64%), 7 underwent tracheotomies after completion of surgery (1.4%), and 3 underwent at the beginning of surgery (0.6%). The remaining 38 patients (7.6%) underwent oral intubation. CONCLUSION: Nasotracheal intubation using fiberoptic bronchoscopy is the most preferred technique for the management of a difficult airway. Efficient airway management during the perioperative period significantly reduces the post-operative length of hospital stay and morbidity.
BACKGROUND: The aim of this study was to conduct a retrospective analysis of modalities of airway management and its impact on patients undergoing head and neck cancer surgeries. MATERIALS AND METHODS: A retrospective review of the medical record of 500 patients operated from January 2008 to December 2013 was conducted at our institute. Patients were reviewed for a mode of airway management, a total length of post-operative hospital stay (PLOS), and incidence of elderly patients in the total number of head and neck cancer surgeries posted for various diagnostic and definitive treatments. RESULTS: Out of 500 patients, 462 patients (92.4%) underwent nasal intubation, of which 320 underwent fiberoptic (FO) intubation (64%), 7 underwent tracheotomies after completion of surgery (1.4%), and 3 underwent at the beginning of surgery (0.6%). The remaining 38 patients (7.6%) underwent oral intubation. CONCLUSION: Nasotracheal intubation using fiberoptic bronchoscopy is the most preferred technique for the management of a difficult airway. Efficient airway management during the perioperative period significantly reduces the post-operative length of hospital stay and morbidity.
Authors: Margaret J Coyle; Robert Tyrrell; Andrew Godden; Ceri W Hughes; Charles Perkins; Steve Thomas; Daryl Godden Journal: Br J Oral Maxillofac Surg Date: 2013-02-08 Impact factor: 1.651
Authors: Joseph C Dort; D Gregory Farwell; Merran Findlay; Gerhard F Huber; Paul Kerr; Melissa A Shea-Budgell; Christian Simon; Jeffrey Uppington; David Zygun; Olle Ljungqvist; Jeffrey Harris Journal: JAMA Otolaryngol Head Neck Surg Date: 2017-03-01 Impact factor: 6.223
Authors: Sami P Moubayed; Daniel A Barker; Ali Razfar; Vishad Nabili; Keith E Blackwell Journal: Otolaryngol Head Neck Surg Date: 2014-11-10 Impact factor: 3.497
Authors: Andrew Robert Emery; Olga Saniukovich; Angela Lu Lang; Richard John Tannyhill; Jingping Wang Journal: J Oral Maxillofac Surg Date: 2020-07-24 Impact factor: 1.895