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Laryngo-tracheal re...
Laryngo-tracheal resections in the Nordic countries : an option for further centralization?
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- Kiug, Tejs Ehlers (författare)
- Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus N, Denmark
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- Hentze, Malene (författare)
- Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus N, Denmark
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- Schytte, Sten (författare)
- Department of Otorhinolaryngology, Head and Neck Surgery, Aarhus University Hospital, Aarhus N, Denmark
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- Farnebo, Lovisa, 1973- (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för neuro- och inflammationsvetenskap,Region Östergötland, Öron- näsa- och halskliniken
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- Rikardsen, Oddveig (författare)
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of North Norway, and University of Tromsø-The Arctic University of Norway, Tromsø, Norway
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- Sihvo, Eero (författare)
- Department of Surgery, Central Finland Central Hospital, Jyvaskyla, Finland
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- Rasanen, Jari (författare)
- Department of General Thoracic and Esophageal Surgery, Helsinki University Hospital, Helsinki, Finland; Department of Surgery, Clinicum, University of Helsinki, Helsinki, Finland
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- Makitie, Antti (författare)
- Karolinska Institutet,Department of Otorhinolaryngology, Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Research Programme in Systems Oncology, Faculty of Medicine, University of Helsinki, Helsinki, Finland; Division of Ear, Nose and Throat Diseases, Department of Clinical Sciences, Intervention and Technology, Karolinska Institutet and Karolinska Hospital, Stockholm, Sweden
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(creator_code:org_t)
- 2019-03-19
- 2019
- Engelska.
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Ingår i: European Archives of Oto-Rhino-Laryngology. - : Springer. - 0937-4477 .- 1434-4726. ; 276:5, s. 1545-1548
- Relaterad länk:
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https://helda.helsin...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- PurposeWe aimed to obtain information on the number of Nordic centers performing tracheal resections, crico-tracheal resections, and laryngo-tracheal reconstructions, as well as the patient volume and the standard regimens associated with these procedures.MethodsConsultants at all Departments of Otorhinolaryngology—Head and Neck Surgery (ORL-HNS, n = 22) and Thoracic Surgery (n = 21) in the five Nordic countries were invited (April 2018—January 2019) to participate in an online survey.ResultsAll 43 departments responded to the survey. Twenty departments declared to perform one or more of the three types of tracheal resections. At five hospitals, departments of ORL-HNS and Thoracic Surgery perform these operations in collaboration. Hence, one or more of the tracheal operations in question are carried out at 15 centers. The median annual number of tracheal operations per center is five (range 1–20). Great variations were found regarding contraindications (relative and absolute) for surgery, the use of guardian sterno-mental sutures (all patients, 33%; selected cases, 40% of centers), prophylactic antibiotic therapy (cefuroxime +/− metronidazole, penicillin +/− metronidazole, clindamycin, imipenem, or none), post-operative follow-up time (range: children: 3–120 months; adults: 0–60 months), and the performance of post-operative bronchoscopy.ConclusionsFifteen centers each perform a low number of annual operations with significant variations in the selection of patients and the clinical setup, which raises the question if a higher degree of collaboration and centralization would be warranted. We encourage Nordic transnational collaboration, pursuing alignment on central management issues, and establishment of a common prospective database for future tracheal resection surgery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Tracheal resection; Crico-tracheal resection; Management; Nordic countries
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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