Varying ENT practices in adult post-intubation laryngotracheal stenosis after the COVID epidemic in France: A CHERRIES analysis

The SARS-CoV-2 pandemic may increase the incidence of iatrogenic laryngotracheal stenosis (LTS), whereas management is not well defined. The aim of this study was to survey a panel of French otorhinolaryngologists about their practices and to evaluate their needs. A national-level survey of the mana...

Full description

Saved in:
Bibliographic Details
Published in:European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2024-05, Vol.141 (3), p.133-137
Main Authors: Tendron, A., Atallah, S., Wagner, I., Baujat, B., Dauzier, E.
Format: Article
Language:English
Subjects:
Adult
COVID-19 - epidemiology
Endotracheal intubation
France - epidemiology
Head and neck
Humans
Iatrogenic Disease - epidemiology
Intubation, Intratracheal - adverse effects
Intubation, Intratracheal - statistics & numerical data
Laryngostenosis - epidemiology
Laryngostenosis - etiology
Laryngotracheal stenosis
Otolaryngology
Practice Patterns, Physicians' - statistics & numerical data
SARS-CoV-2
Surveys and Questionnaires
Tracheal Stenosis - epidemiology
Tracheal Stenosis - etiology
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The SARS-CoV-2 pandemic may increase the incidence of iatrogenic laryngotracheal stenosis (LTS), whereas management is not well defined. The aim of this study was to survey a panel of French otorhinolaryngologists about their practices and to evaluate their needs. A national-level survey of the management of iatrogenic LTS was conducted using a 41-item questionnaire, in 4 sections, sent to a panel of French otorhinolaryngologists between July and December 2022. The main endpoint was heterogeneity in responses between 55 proposals on LTS management. The response rate was 20% (52/263). The response heterogeneity rate was 69% (38/55). Heterogeneity concerned general questions on diagnosis (7/12, 58%) and management (7/10, 70%), LTS case management (22/27, 81%), and otorhinolaryngologists’ expectations (33%, 2/6). Quality of training was considered good or excellent by only 21% of respondents. More than 80% were strongly in favor of creating national guidelines, expert centers and a national database. This study demonstrated the heterogeneity of adult post-intubation LTS management between otorhinolaryngologists in France. Training quality was deemed poor or mediocre by a majority of respondents. They were in favor of creating national guidelines and expert centers in LTS.
ISSN:1879-7296
1879-730X
DOI:10.1016/j.anorl.2024.02.008