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Pediatric Tracheotomy: Comparison of Surgical Technique with Early and Late Complications in 273 Cases

Overview
Journal Pak J Med Sci
Specialty General Medicine
Date 2019 Mar 19
PMID 30881432
Citations 3
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Abstract

Objectives: This study was aimed to compare the early and late complications of tracheotomy in pediatric patient, with respect to surgical techniques.

Methods: The relationship between demographic characteristics, surgical techniques obtained from the files of the children and complications developing after surgery were compared retrospectively.

Results: One hundred fifty two out of 273 developed complications after tracheotomy. Among these, 75 were early complications and 77 were late complications. Results obtained concerning early complications showed a significant difference between Skin incision and Bleeding and Accidental decannulation; Tracheal incision and Subcutaneous emphysema; surgical time and accidental decannulation and tube/ventilation problem; Surgeon's skill level and bleeding. As regards late complications there was a significant difference between Intubation Time and Stomal-tracheal granulation; Tracheal incision and Stomal infection; Surgeon's skill level and Stomal-tracheal granulation.

Conclusions: In pediatric tracheotomy the preferred skin incision and tracheal incision, surgeon's experience, tracheotomoy time and intubation time are important as regards development of early or late complications.

Citing Articles

Relative Factors Analysis of the Occurrence and Location of Intratracheal Granuloma Following Tracheotomy.

Li W, Hu Y, Hu Y, Zhou M, Li Y, Peng J Int J Gen Med. 2024; 17:6355-6365.

PMID: 39720575 PMC: 11668245. DOI: 10.2147/IJGM.S493335.


Impact of Vertical and Horizontal Skin Incisions on Outcome Measures in Tracheostomies.

Sidam S, Nasi A, Gupta V, Saigal S, Sahoo A, Mishra U Cureus. 2024; 16(2):e54142.

PMID: 38496131 PMC: 10940057. DOI: 10.7759/cureus.54142.


[Pediatric tracheotomy: clinical analysis of 95 cases with different etiology].

Lin C, Chen C, Tan L, Ni Y, Xu Z Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022; 36(4):264-268.

PMID: 35511617 PMC: 10128175. DOI: 10.13201/j.issn.2096-7993.2022.04.005.

References
1.
Carron J, Derkay C, Strope G, Nosonchuk J, Darrow D . Pediatric tracheotomies: changing indications and outcomes. Laryngoscope. 2000; 110(7):1099-104. DOI: 10.1097/00005537-200007000-00006. View

2.
Kremer B, Eckel H, Schlondorff G . Indications, complications, and surgical techniques for pediatric tracheostomies--an update. J Pediatr Surg. 2002; 37(11):1556-62. DOI: 10.1053/jpsu.2002.36184. View

3.
Hadfield P, Lloyd-Faulconbridge R, Almeyda J, Albert D, Bailey C . The changing indications for paediatric tracheostomy. Int J Pediatr Otorhinolaryngol. 2003; 67(1):7-10. DOI: 10.1016/s0165-5876(02)00282-3. View

4.
Rozsasi A, Kuhnemann S, Gronau S, Keck T . A single-center 6-year experience with two types of pediatric tracheostomy. Int J Pediatr Otorhinolaryngol. 2005; 69(5):607-13. DOI: 10.1016/j.ijporl.2004.11.024. View

5.
Butnaru C, Colreavy M, Ayari S, Froehlich P . Tracheotomy in children: evolution in indications. Int J Pediatr Otorhinolaryngol. 2005; 70(1):115-9. DOI: 10.1016/j.ijporl.2005.05.028. View