Thyroid-split Tracheostomy: Short- and Long-term Outcomes

Overview

Journal Acta Otorhinolaryngol Ital

Specialty Otorhinolaryngology

Date 2023 Apr 26

PMID 37099433

Authors

Nir Tsur

Ella Segal

Eyal Yosefof

Noam Koch

Idan Zeeman

Ella Reifen

Ory Wiesel

Gideon Bachar

Esmat Najjar

Affiliations

Soon will be listed here.

Abstract

Objective: Compare long-term outcomes of thyroid-split and standard thyroid-retraction tracheostomy in a large cohort.

Methods: The healthcare database of a university-affiliated hospital was searched for past patients over 18 years of age from all of the hospital's wards on whom an ear, nose, and throat specialist performed a tracheostomy in the operating room between 2010 and 2020. Clinical data were extracted from the hospital and outpatient medical records. Life-threatening and non-life-threatening intra-operative and early and late post-operative adverse events in patients who underwent split-thyroid tracheostomy were compared with those who underwent standard tracheostomy.

Results: There was no significant difference in intra-operative and early post-operative complications, hospitalisation length, or early reoperation and death rates between the 140 (28%) thyroid-split tracheostomy patients and the 354 (72%) standard tracheostomy patients, although the thyroid-split group had more non-decannulated patients and a longer operative time.

Conclusions: Thyroid-split tracheostomy is safe and feasible. Compared to the standard procedure, it provides better exposure and a similar rate of complications, although its de-cannulation success rate is lower.

Citing Articles

Post-tracheostomy Bleeding: A Case Report on a Rare Variation of the Inferior Thyroid Artery.

Gendeh H, Rosdi N, Yunus M Cureus. 2024; 16(9):e69242.

PMID: 39398695 PMC: 11470820. DOI: 10.7759/cureus.69242.

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