{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T13:55:22Z","timestamp":1790603722042,"version":"4.1.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126105660_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the indications, timing and mechanisms of surgical tracheostomy in non-laryngeal head and neck cancers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105660_sec2b\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 29 patients who underwent tracheostomy between January 2020 and July 2022. Data included demographics, tumour site, treatment modality, timing, indications and airway pathology. Timing was classified as pre-treatment, during treatment, early (&lt; 30 days) or late (&gt; 30 days).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105660_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nasopharynx was the most common subsite (\n                      <jats:italic>n<\/jats:italic>\n                      = 6; 20.7 per cent) and chemoradiotherapy the predominant treatment (\n                      <jats:italic>n<\/jats:italic>\n                      = 13; 44.8 per cent). 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                      <jats:italic>n<\/jats:italic>\n                      = 15; 51.8 per cent). Median radiotherapy dose was 66 Gy. Timing reflected mechanism: acute causes occurred earlier, chronic causes later (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105660_sec4d\" sec-type=\"conclusions\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Tracheostomy in non-laryngeal head and neck cancer is primarily driven by treatment-related airway changes. A timing- and mechanism-based approach may facilitate earlier risk stratification and reduce emergency airway interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126105660","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:52:58Z","timestamp":1784886778000},"page":"1-6","source":"Crossref","is-referenced-by-count":0,"title":["Clinical patterns, timing, and indications of surgical tracheostomy in non-laryngeal head and neck cancers: a retrospective tertiary centre experience"],"prefix":"10.1017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5267-6358","authenticated-orcid":false,"given":"Sel\u00e7uk","family":"Erol","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/054876c03","id-type":"ROR","asserted-by":"publisher"}],"name":"Ankara Atat\u00fcrk Sanatoryum Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arzubet\u00fcl","family":"Duran","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02nj8cq30","id-type":"ROR","asserted-by":"publisher"}],"name":"Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,24]]},"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215126105660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T12:59:26Z","timestamp":1790600366000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215126105660\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,24]]},"references-count":0,"alternative-id":["S0022215126105660"],"URL":"https:\/\/doi.org\/10.1017\/s0022215126105660","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,24]]}}}