{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T15:11:24Z","timestamp":1782573084819,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007363","name":"Stiftelsen Acta Oto-Laryngologica","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007363","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The European laryngological society predicted an increased incidence of laryngotracheal complications as a result of the COVID\u201019 pandemic. During the first pandemic wave in the Stockholm region, 31% of critically ill COVID\u201019 patients were tracheotomized by an open surgical (OST) or a percutaneous tracheotomy (PCT). The aim of this study was to investigate the incidence of visible laryngotracheal pathologies in tracheotomized and long\u2010term intubated COVID\u201019 survivors \u2265\u200912\u2009months after initial intubation, to examine whether these pathologies were symptomatic and to assess possible associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Study participants underwent laryngotracheoscopy under local anaesthesia, and tracheostomy skin and soft tissue scars were photo documented. Patient\u2010reported outcome measures \u2014 the Voice Handicap Index\u201010 (VHI\u201010), the Eating Assessment Tool\u201010 (EAT\u201010) and the Dyspnea Index (DI), and demographics were retrospectively extracted from patient medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 73 included study participants (40 OST, 24 PCT and 9 long\u2010term intubated), 58% had visible laryngotracheal pathologies. Tracheostomy tube size and the number of days with tracheostomy were associated with skin and soft tissue pathology and tracheal pathology (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The results of the VHI\u201010 and EAT\u201010 were congruent with both laryngeal and skin and soft tissue pathologies. Participants with the highest DI scores, indicating breathing difficulties, had both laryngeal and tracheal pathologies followed by tracheal pathology alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A high incidence of visible laryngotracheal pathologies, two airway management\u2010related factors, and symptom\u2010pathology associations for VHI\u201010 and EAT\u201010 scores were found in a cohort of COVID\u201019 survivors \u2265\u200912\u2009months after critical care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.70074","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T11:33:07Z","timestamp":1750937587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laryngotracheal Pathologies and Symptoms Associated to Airway Management of Critically Ill <scp>COVID<\/scp>\u201019 Patients at One\u2010Year Follow Up: An Observational Study"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4075-3253","authenticated-orcid":false,"given":"Svenberg Lind","family":"Clara","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Clinical Science, Intervention and Technology Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlsson","family":"Agneta","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marsk","family":"Elin","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Clinical Science, Intervention and Technology Karolinska Institutet  Stockholm 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