{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T10:04:46Z","timestamp":1782468286835,"version":"3.54.5"},"reference-count":5,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"content-version":"vor","delay-in-days":62,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>The COVID\u201019 pandemic has notably increased the need for prolonged mechanical ventilation (MV) in patients with respiratory failure. This has increased the risk of extensive tracheal injury (ETI) associated with life\u2010threatening complications in complex cases. Furthermore, tracheal injury treatment in patients with COVID\u201019 has not been described yet. Three patients with COVID\u201019 and ETI who required MV between April and November 2020 were included. A multistep approach was performed to restore tracheal integrity with a custom\u2010remodeled stent and tracheostomy tube placement to allow ventilatory support. Efficient MV with no residual air leaks was obtained in all cases. One patient died 6 weeks after the procedure due to COVID\u201019 lung damage. Two patients have completely been weaned from MV. This multistep procedure could be used to maintain ventilatory support in the case of ETI, working as a bridge to subsequent surgery when clinical conditions improve.<\/jats:p>","DOI":"10.1177\/2473974x221080446","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T03:47:30Z","timestamp":1646365650000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Extensive Tracheal Injuries: A Reasoned Multistep Approach to Guarantee Mechanical Ventilatory Support Developed During the COVID\u201019\u00a0Pandemic"],"prefix":"10.1002","volume":"6","author":[{"given":"Francesco","family":"Mattioli","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Hospital of Modena Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4642-3151","authenticated-orcid":false,"given":"Andrea","family":"Martone","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery University Hospital of Modena Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Andreani","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences Respiratory Diseases Unit and Center for Rare Lung Disease University Hospital of Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaia","family":"Cappiello","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences Respiratory Diseases Unit and Center for Rare Lung Disease University Hospital of Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6202-0758","authenticated-orcid":false,"given":"Roberto","family":"Tonelli","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences Respiratory Diseases Unit and Center for Rare Lung Disease University Hospital of Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Clini","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences Respiratory Diseases Unit and Center for Rare Lung Disease University Hospital of Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Marchioni","sequence":"additional","affiliation":[{"name":"Department of Surgical and Medical Sciences Respiratory Diseases Unit and Center for Rare Lung Disease University Hospital of Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"516","article-title":"Tracheoesophageal fistula\u2014a complication of prolonged tracheal intubation","volume":"7","author":"Paraschiv M","year":"2014","journal-title":"J Med Life"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05982-0"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.4148"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2750-6"},{"key":"e_1_2_10_6_1","first-page":"1","article-title":"Bronchial selective ventilation in a wide tracheocutaneous fistula","volume":"7","author":"Marchioni A","year":"2012","journal-title":"Respir Med Case Rep"}],"container-title":["OTO Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/2473974X221080446","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/2473974X221080446","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/2473974X221080446","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:41:07Z","timestamp":1760953267000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/2473974X221080446"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["10.1177\/2473974X221080446"],"URL":"https:\/\/doi.org\/10.1177\/2473974x221080446","archive":["Portico"],"relation":{},"ISSN":["2473-974X","2473-974X"],"issn-type":[{"value":"2473-974X","type":"print"},{"value":"2473-974X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"2473974X221080446"}}