title: Airway management and postoperative length of hospital stay in patients undergoing head and neck cancer surgery.
abstract: OBJECTIVE
  General anesthesia and airway management of patients for head and neck cancer surgery is a challenge for the anesthesiologist. Appropriate assessment and planning are essential for successful airway management. Our objectives were to review airway management strategies in patients undergoing head and neck cancer surgery in our tertiary care institution and also to observe the effect of airway management techniques on postoperative length of hospital stay (PLOS).
  
  
  METHODS
  A retrospective medical record review of 400 patients who underwent major head and neck cancer surgery in our institution was conducted. A special form was used, and records were searched for airway and anesthetic management in the operating room and recovery room, and for PLOS.
  
  
  RESULTS
  289 (72.25%) of the patients were male, and 111 (27.75%) female. 49.8% of patients had Mallampati score of 3 and 4. Airway was managed with tracheostomy in 81 (20.25%) patients; nasal intubation was performed in 177 (44.25%) and oral intubation in 142 (35.5%) patients. Postoperative emergency tracheostomy was not done in any of the patients.
  
  
  CONCLUSIONS
  Median postoperative hospital stay was significantly longer (P = 0.0005) in patients who had a tracheostomy performed compared with those where the airway was managed without it.
authors.affiliation: Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.
authors.forename: Ali Sarfraz
authors.initials: AS
authors.lastname: Siddiqui
authors.affiliation: Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.
authors.forename: Samie Asghar
authors.initials: SA
authors.lastname: Dogar
authors.affiliation: Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.
authors.forename: Shankar
authors.initials: S
authors.lastname: Lal
authors.affiliation: Department of Surgery, Aga Khan University, Karachi, Pakistan.
authors.forename: Shabbir
authors.initials: S
authors.lastname: Akhtar
authors.affiliation: Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan.
authors.forename: Fauzia Anis
authors.initials: FA
authors.lastname: Khan
keywords: Airway management; head and neck cancer; length of stay