Abstract
Little is known about the diagnosis and surgical management of head and neck conditions in patients with HIV/AIDS. This study was conducted to characterize the otorhinolaryngological (ORL) profiles, surgical interventions and outcomes in patients with HIV/AIDS. This retrospective study included patients with HIV/AIDS who underwent head and neck surgeries at You’an Hospital from November 2009 to February 2017. Patients’ ages, ORL diagnoses and surgical interventions for all ORL surgeries were recorded. We identified 57 ORL surgeries in 52 patients during this time. The mean age of the patients was 37.7 ± 12.8 years, with a predominance of male patients (90.4%). The three most common surgical diagnoses were chronic tonsillitis (19.3%), followed by chronic rhinosinusitis (CRS) (14.0%) and vocal polyps (8.8%). The three most common surgeries performed were tonsillectomy (19.3%), endoscopic sinus surgery + radiofrequency ablation of the inferior turbinate (14.0%) and vocal cord polypectomy (8.8%). No mortality occurred in the 30 days after surgery, but 2 patients (3.8%) developed post-operative surgical site infections (SSI). These findings provide information on ORL manifestations and surgical interventions in patients with HIV/AIDS and may assist in the achievement of the most appropriate treatments for this patient population.
Highlights
Human immunodeficiency virus (HIV) infection/acquired immunodeficiency syndrome (AIDS) is a global pandemic
The earliest reports of surgical procedures in patients with HIV/AIDS reported complication rates as high as 40% and mortality ranging from 55% to 70%11
Surgeons have been hesitant to perform surgical procedures on patients with HIV/AIDS because of the higher perioperative morbidity and mortality in these patients than in non-HIV/AIDS patients, and most clinicians recommend medical management or conservative approaches for conditions that are usually treated with surgery[11]
Summary
Human immunodeficiency virus (HIV) infection/acquired immunodeficiency syndrome (AIDS) is a global pandemic. 2.1 million people were estimated to have become newly infected with HIV in 2015. The increased prevalence of patients with HIV/AIDS has resulted in a greater number of HIV-infected patients visiting otolaryngologists. As the life expectancy of these patients increases, a greater number of patients with HIV/AIDS visit otorhinolaryngologists and become eligible for surgical interventions for conditions that would not previously have been operable[10]. Otolaryngologists are experiencing greater challenges in accurately identifying these surgical ORL conditions and providing proper surgical options for HIV-infected patients. Little is known about the ORL surgical outcomes in these patients Based on these considerations, we conducted this study to identify common surgical ORL diagnoses and treatments for patients with HIV/AIDS as a primary objective and to evaluate surgical outcomes in these patients as a secondary objective
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