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Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 31 Issue: 3

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

Yaşar Kemal Duymaz(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)
Aslı Şahin Yılmaz(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-7846-9453
Serap Şahin Önder(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-3576-0953
Arzu Tarlanova(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0001-9042-041X
Özgül Gergin Tinay(İSTANBUL MEDİPOL ÜNİVERSİTESİ)0000-0002-4544-863X
Pages
—
Publication Date
2021-11-09
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, a tracheostomy should be performed by a multidisciplinary team following predetermined rules in a specialized center.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To describe specific indications and complications of pediatric tracheostomies performed in our tertiary care children’s hospital between 2015 and 2020.
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Key Findings & Data:The review included patient data covering a 5-year period, commencing on the 1st of January 2015 through the 31st of May 2020.
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Conclusion & Impact:Therefore, a tracheostomy should be performed by a multidisciplinary team following predetermined rules in a specialized center.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Pediatric tracheotomy · maturation suture technique · upper airway obstruction

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 (33 females, 22 male) were included in the study. A tracheostomy was performed to address complications arising from prolonged ventilation in 48 children (87%) or upper airway obstruction in 7 children (13%).There was one intraoperative complication that resulted in death. There was one early postoperative complication (2%) (one child suffered accidental decannulation and the cannula was replaced without further incident). There were 7 late postoperative complications all featuring peristomal granulation tissue (13%). There were 16 deaths; however, only one resulted from the tracheostomy as outlined above. Eight patients (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.

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Cite This Article

Duymaz, Y. K., Yılmaz, A. Ş., Önder, S. Ş., Tarlanova, A., Tinay, Ö. G. (2021). Pediatric Tracheotomy: 5-years of Experiences at a Tertiary Care Center. The Turkish Journal of Ear Nose and Throat, Volume: 31 Issue: 3. https://doi.org/10.26650/Tr-ENT.2021.994998

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