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ISSN 2539-0859 (Electronic)
ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2023, Number 3

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Acta de Otorrinolaringología CCC 2023; 51 (3)

Post-intubation laryngotracheal stenosis due to COVID 19 in two hospitals

Sánchez-Burbano NA, Cruz-Clavijo SE, Sandoval-Cardozo JM, Morales-Rubio LJ, Hernández-Alarcón VJ, Bernal-Trujillo GL, Rodríguez-Sabogal CA, Carmona-Gómez EA

Language: Spanish
References: 29
Page: 187-193
PDF size: 189.73 Kb.


ABSTRACT

Introduction: COVID-19 infection has left more than 400 million people infected to date, and between 10%-15% require orotracheal intubation. This has triggered a wave of long-term airway sequelae, which have increased post-infectious morbidity and mortality. Objectives: To describe the demographic and clinical characteristics and possible risk factors of patients with laryngotracheal stenosis (LTE) post-intubation by COVID19 at the Hospital Universitario Clínica San Rafael and the Hospital Militar Central in Bogotá, Colombia. Methods: Descriptive observational study of retrospective case series, collecting socio-demographic data, comorbidities, intubation times, stenosis characteristics, results of endoscopic studies, management offered and results. Results: 25 patients were collected, 15 men (60%) and 10 women (40%), with average intubation times of 15.7 days. The most compromised subsites were the trachea (68.2%) and subglottis-trachea (22.7%). Most patients required more than one intervention. Balloon dilation and tracheostomy were the most performed procedures. Conclusions: LTE is a complication of orotracheal intubation, associated with vasculitis, inflammation and coagulative necrosis of the airway, has increased in cases in severe COVID-19 infection


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