Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia
Abstract Objective This study aims to document and analyze the challenges and outcomes of performing complex airway surgery in a low‐resource, post‐war setting in Mekelle, Ethiopia. Methods This prospective case series examines clinical data from five patients who underwent airway reconstruction sur...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-12-01
|
| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.70034 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846111106623340544 |
|---|---|
| author | Daniel G. Eyassu Estephania Candelo Brhanu H. Asgedom Katherine P. Wallerius Shaina W. Twardus Weston L. Niermeyer Katerina J. Green Tejas S. Athni Joshua P. Wiedermann |
| author_facet | Daniel G. Eyassu Estephania Candelo Brhanu H. Asgedom Katherine P. Wallerius Shaina W. Twardus Weston L. Niermeyer Katerina J. Green Tejas S. Athni Joshua P. Wiedermann |
| author_sort | Daniel G. Eyassu |
| collection | DOAJ |
| description | Abstract Objective This study aims to document and analyze the challenges and outcomes of performing complex airway surgery in a low‐resource, post‐war setting in Mekelle, Ethiopia. Methods This prospective case series examines clinical data from five patients who underwent airway reconstruction surgeries and one patient who underwent total laryngectomy at Ayder Comprehensive Specialized Hospital in Mekelle. Data included patient demographics, airway stenosis etiology and severity, operative details, postoperative outcomes, complications, and hospital length of stay. Ethical approval was obtained from institutional review boards at Mayo Clinic and Mekelle University. Results The study included six patients aged 9–62 years, with surgeries comprising three cricotracheal resections, two tracheal resections, and one laryngectomy. Three reconstructions were for war‐related injuries. Challenges included power outages during surgeries, limitations in medical supplies and equipment, and inadequate perioperative care. Despite these, three patients requiring tracheostomies were successfully decannulated within a year. However, complications such as restenosis, infections, and the need for reintubation were common. Conclusion Airway surgeries in a low‐resource, post‐war setting face significant hurdles, including perioperative care quality, resource limitations, and infrastructure issues. Successful outcomes require multidisciplinary training tailored to local contexts, investments in hospital infrastructure and reliable electricity, and proper perioperative nutrition. This study highlights the need for comprehensive interventions to improve surgical care in such settings. Level of evidence: IV. |
| format | Article |
| id | doaj-art-4a2bc548e4cc4c22a9a243a98de05182 |
| institution | Kabale University |
| issn | 2378-8038 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj-art-4a2bc548e4cc4c22a9a243a98de051822024-12-23T11:50:35ZengWileyLaryngoscope Investigative Otolaryngology2378-80382024-12-0196n/an/a10.1002/lio2.70034Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, EthiopiaDaniel G. Eyassu0Estephania Candelo1Brhanu H. Asgedom2Katherine P. Wallerius3Shaina W. Twardus4Weston L. Niermeyer5Katerina J. Green6Tejas S. Athni7Joshua P. Wiedermann8Department of Otolaryngology and Head and Neck Surgery Mayo Clinic Rochester Minnesota USADepartment of Otolaryngology and Head and Neck Surgery University of Washington School of Medicine Seattle Washington USADepartment of Otolaryngology and Head and Neck Surgery Ayder Comprehensive Specialized Hospital Mekele EthiopiaDepartment of Otolaryngology and Head and Neck Surgery Mayo Clinic Rochester Minnesota USAUniversity of Virginia School of Medicine Charlottesville Virginia USADivision of Otolaryngology and Head and Neck Surgery The George Washington University School of Medicine and Health Sciences Washington, DC USADepartment of Otolaryngology and Head and Neck Surgery Mayo Clinic Jacksonville Florida USAHarvard Medical School Boston Massachusetts USADepartment of Otolaryngology and Head and Neck Surgery Mayo Clinic Rochester Minnesota USAAbstract Objective This study aims to document and analyze the challenges and outcomes of performing complex airway surgery in a low‐resource, post‐war setting in Mekelle, Ethiopia. Methods This prospective case series examines clinical data from five patients who underwent airway reconstruction surgeries and one patient who underwent total laryngectomy at Ayder Comprehensive Specialized Hospital in Mekelle. Data included patient demographics, airway stenosis etiology and severity, operative details, postoperative outcomes, complications, and hospital length of stay. Ethical approval was obtained from institutional review boards at Mayo Clinic and Mekelle University. Results The study included six patients aged 9–62 years, with surgeries comprising three cricotracheal resections, two tracheal resections, and one laryngectomy. Three reconstructions were for war‐related injuries. Challenges included power outages during surgeries, limitations in medical supplies and equipment, and inadequate perioperative care. Despite these, three patients requiring tracheostomies were successfully decannulated within a year. However, complications such as restenosis, infections, and the need for reintubation were common. Conclusion Airway surgeries in a low‐resource, post‐war setting face significant hurdles, including perioperative care quality, resource limitations, and infrastructure issues. Successful outcomes require multidisciplinary training tailored to local contexts, investments in hospital infrastructure and reliable electricity, and proper perioperative nutrition. This study highlights the need for comprehensive interventions to improve surgical care in such settings. Level of evidence: IV.https://doi.org/10.1002/lio2.70034airway reconstructioncapacity buildingEthiopiaglobal surgeryotolaryngology |
| spellingShingle | Daniel G. Eyassu Estephania Candelo Brhanu H. Asgedom Katherine P. Wallerius Shaina W. Twardus Weston L. Niermeyer Katerina J. Green Tejas S. Athni Joshua P. Wiedermann Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia Laryngoscope Investigative Otolaryngology airway reconstruction capacity building Ethiopia global surgery otolaryngology |
| title | Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia |
| title_full | Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia |
| title_fullStr | Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia |
| title_full_unstemmed | Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia |
| title_short | Challenges and outcomes of airway surgery in a post‐war low‐resource setting: A case series from Mekelle, Ethiopia |
| title_sort | challenges and outcomes of airway surgery in a post war low resource setting a case series from mekelle ethiopia |
| topic | airway reconstruction capacity building Ethiopia global surgery otolaryngology |
| url | https://doi.org/10.1002/lio2.70034 |
| work_keys_str_mv | AT danielgeyassu challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT estephaniacandelo challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT brhanuhasgedom challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT katherinepwallerius challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT shainawtwardus challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT westonlniermeyer challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT katerinajgreen challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT tejassathni challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia AT joshuapwiedermann challengesandoutcomesofairwaysurgeryinapostwarlowresourcesettingacaseseriesfrommekelleethiopia |