Investigation of Subcarinal Angle and Tracheobronchial Morphology in Patients with COVID 19: A Retrospective Computed Tomography Study

Authors : Sibel ATEŞOĞLU KARABAŞ, Rukiye ÇİFTÇİ, Hilal ER ULUBABA, Atila YOLDAŞ

Pages : 266-272

Doi:10.18521/ktd.1247746

View : 41 | Download : 40

Publication Date : 2023-06-22

Article Type : Research Paper

Abstract :Objective: Morphological features of the trachea are very important in choosing the correct endotracheal tube size for intubation. In this study, it was proposed to reveal the effect of SARS-CoV-2 on tracheobronchial morphology and subcarinal angle. Method: 56 insert ignore into journalissuearticles values(26 female, 30 male); COVID-19 and 48 insert ignore into journalissuearticles values(24 female, 24 male); healthy individuals aged 40 and over were included in the study. The mean age of female patients with COVID-19 was 51.30±12.78 years, while the women in the control group were 45.00±11.89 years. The mean age of male patients with COVID-19 was 48.73±13.99 years, while the mean age of men in the control group was 43.76±8.45 years. The trachea length insert ignore into journalissuearticles values(TL);, proximal, middle and distal levels anteroposterior insert ignore into journalissuearticles values(AP); and transverse insert ignore into journalissuearticles values(TR); trachea diameters insert ignore into journalissuearticles values(TD);, subcarinal angle insert ignore into journalissuearticles values(SA);, proximal right main bronchus insert ignore into journalissuearticles values(RMB); and left main bronchus insert ignore into journalissuearticles values(LMB); diameters were also measured on computed tomography insert ignore into journalissuearticles values(CT); images. Results: The RMB angle was higher in men with COVID-19 than in the control group insert ignore into journalissuearticles values(p=0.005);. TL was lower in women with COVID-19 than in the control group insert ignore into journalissuearticles values(p=0.030);. Proximal AP-TD was higher in men with COVID-19 than in the control group insert ignore into journalissuearticles values(p=0.006);. Proximal TR-TD was lower in men with COVID-19 than in the control group insert ignore into journalissuearticles values(p=0.029);. TL, proximal, middle, and distal levels of AP and TR-TD,SA, RMB, and LMB angles, and proximal RMB and LMB diameters were found to be lower in women with COVID-19 than in men with COVID-19 insert ignore into journalissuearticles values(p=0.001);. Conclusion: It was deduced that tracheobronchial morphology might change in patients infected with SARS-CoV-2.It is clinically important that this situation should not be overlooked, especially in the indication of endotracheal intubation.
Keywords : COVID 19, CT, Bronkus, Morfoloji, SARS CoV 2, Subkarinal açı, Trakea