Original Investigation

Risk Factors for Airway Complications After Thyroplasty and Arytenoid Adduction

JAMA Otolaryngology–Head & Neck Surgery 10.1001/jamaoto.2025.2050

July 24, 2025 at 11:00 AM EDT

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What are the risk factors for airway complications after thyroplasty and arytenoid adduction?This cohort study using a national inpatient database to evaluate 8626 adults patients (>16 years old) found that advanced age, type of surgery, use of anticoagulant and antiplatelet drugs, chronic pulmonary disease, and metastatic cancer were associated with higher rates of airway complications.These findings suggest that optimized management of anticoagulant and antiplatelet therapy, preoperative risk assessment, and perioperative airway management for chronic pulmonary disease may reduce the risk of airway complications.

Corresponding Author: Daisuke Shinjo, PhD, Department of Health Policy and Informatics, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, S1651/S1568 Mdshinjo.hci@tmd.ac.jp).

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