Pediatric Tracheotomy: 5-years of Experiences at a Tertiary Care Center

Authors : Yaşar Kemal DUYMAZ, Aslı ŞAHİN YILMAZ, Serap ŞAHİN ÖNDER, Arzu TARLANOVA, Özgül GERGİN TİNAY

Pages : 66-69

Doi:10.26650/Tr-ENT.2021.994998

View : 19 | Download : 15

Publication Date : 2021-11-09

Article Type : Research Paper

Abstract :Objective: To describe specific indications and complications of pediatric tracheostomies performed in our tertiary care children’s hospital between 2015 and 2020. Materials and Methods: A retrospective study analyzing charts of pediatric tracheostomies utilizing the maturation suture technique was conducted. The review included patient data covering a 5-year period, commencing on the 1st of January 2015 through the 31st of May 2020. Results: Fifty-five patients insert ignore into journalissuearticles values(33 females, 22 male); were included in the study. A tracheostomy was performed to address complications arising from prolonged ventilation in 48 children insert ignore into journalissuearticles values(87%); or upper airway obstruction in 7 children insert ignore into journalissuearticles values(13%);.There was one intraoperative complication that resulted in death. There was one early postoperative complication insert ignore into journalissuearticles values(2%); insert ignore into journalissuearticles values(one child suffered accidental decannulation and the cannula was replaced without further incident);. There were 7 late postoperative complications all featuring peristomal granulation tissue insert ignore into journalissuearticles values(13%);. There were 16 deaths; however, only one resulted from the tracheostomy as outlined above. Eight patients insert ignore into journalissuearticles values(15%); were successfully decannulated. In 6 cases, the tracheostomy was spontaneously closed. Repair of tracheoesophageal fistula was required in two patients. Conclusion: Currently, the tracheostomy is the preferred course of treatment. Though it can potentially lead to severe complications in children, instances of this occurring are rare. Therefore, a tracheostomy should be performed by a multidisciplinary team following predetermined rules in a specialized center.
Keywords : Pediatric tracheotomy, maturation suture technique, upper airway obstruction