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 · 2026
Temporary tracheotomy in transoral robotic surgery (TORS): from a retrospective single-center analysis to a proposal of a decision-making algorithm.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Stringa Luigi Marco, Meccariello Giuseppe, Cammaroto Giovanni, Chitranshi Devina, Visconti Irene Claudia, De Vito Andrea
Аннотация
PURPOSE: To propose a decision-making algorithm for preventive tracheostomy in patients with obstructive sleep apnea syndrome (OSAS) or oropharyngeal squamous cell carcinoma (OPSCC) undergoing transoral robotic surgery (TORS).
METHODS: Preoperative assessment integrated clinical history with anesthesiologic scoring systems, including the ASA classification, El-Ganzouri Risk Index (EGRI), and STOP-Bang questionnaire. Additional pro-hemorrhagic factors were also considered. Based on individual risk profiles, tracheostomy was performed before or after TORS when indicated.
RESULTS: Higher ASA and EGRI scores, coagulopathy, cardiovascular disease, hypertension, and smoking were significantly associated with increased rates of tracheostomy and postoperative bleeding.
CONCLUSIONS: Preventive tracheostomy during TORS should be considered according to the surgical plan and the patient's overall clinical condition, particularly in cases of severe OSAS, BMI > 27.5, elevated EGRI or ASA scores, anticoagulant therapy, coagulopathy, cardiovascular comorbidities, and active smoking or alcohol consumption.
METHODS: Preoperative assessment integrated clinical history with anesthesiologic scoring systems, including the ASA classification, El-Ganzouri Risk Index (EGRI), and STOP-Bang questionnaire. Additional pro-hemorrhagic factors were also considered. Based on individual risk profiles, tracheostomy was performed before or after TORS when indicated.
RESULTS: Higher ASA and EGRI scores, coagulopathy, cardiovascular disease, hypertension, and smoking were significantly associated with increased rates of tracheostomy and postoperative bleeding.
CONCLUSIONS: Preventive tracheostomy during TORS should be considered according to the surgical plan and the patient's overall clinical condition, particularly in cases of severe OSAS, BMI > 27.5, elevated EGRI or ASA scores, anticoagulant therapy, coagulopathy, cardiovascular comorbidities, and active smoking or alcohol consumption.