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Journals / The Turkish Journal of Ear Nose and Throat / 2021 / Cilt: 31 - Sayı: 3

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

Yaşar Kemal DUYMAZ
Aslı Şahin YILMAZ
Serap ÖNDER
Arxu TARLANOVA
Özgül Gergin TİNAY
Pages
66–69
DOI
—
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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.Materials and Methods: A retrospective study analyzing charts of pediatric tracheostomies utilizing the maturation suture technique was conducted.
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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.Results: Fifty-five patients (33 females, 22 male) were included in the study.
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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., YILMAZ, A. Ş., ÖNDER, S., TARLANOVA, A., TİNAY, Ö. G. (2021). Pediatric Tracheotomy: 5-years of Experiences at a Tertiary Care Center. The Turkish Journal of Ear Nose and Throat, Cilt: 31 - Sayı: 3, 66–69. https://ajindex.com/articles/362514

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