Clinical Patterns, Timing, and Indications of Surgical Tracheostomy in Non-Laryngeal Head and Neck Cancers: A Retrospective Tertiary Centre Experience
Journal of Laryngology and Otology, ss.1-20, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1017/s0022215126105660
- Dergi Adı: Journal of Laryngology and Otology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE, MLA - Modern Language Association Database, MLA International Bibliography, Academic Search Ultimate (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Sayfa Sayıları: ss.1-20
- Anahtar Kelimeler: airway obstruction, chemoradiotherapy, Head and neck neoplasms, radiotherapy, tracheostomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To evaluate the indications, timing, and mechanisms of surgical tracheostomy in nonlaryngeal head and neck cancers.Methods: We retrospectively reviewed 29 patients who underwent tracheostomy betweenJanuary 2020 and July 2022. Data included demographics, tumour site, treatment modality,timing, indications, and airway pathology. Timing was classified as pre-treatment, duringtreatment, early ((Formula presented)30 days), or late ((Formula presented)30 days).Results: Nasopharynx was the most common subsite (n=6, 20.7%), and chemoradiotherapy thepredominant treatment (n=13, 44.8%). Most tracheostomies occurred during or after treatment.At follow-up, 10 patients were decannulated and 19 remained dependent or intubated.Respiratory distress/desaturation was the leading indication (n=15, 51.8%). Median radiotherapydose was 66 Gy. Timing reflected mechanism: acute causes occurred earlier, chronic causes later(p<0.01).Conclusion: Tracheostomy in non-laryngeal head and neck cancer is primarily driven bytreatment-related airway changes. A timing- and mechanism-based approach may facilitateearlier risk stratification and reduce emergency airway interventions