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Abstract
This is a cross sectional study done in I.C.U & Dept. of otolaryngology - Head & Neck Surgery, B.S.M.M.U, Dhaka and Dhaka Medical College Hospital during the period of 1st March, 2003 to 30th August, 2003. 60 cases of tracheostomies, were included in this study, among them 30 cases of elective tracheostomies and 30 cases of emergency tracheostomies. In this study mean age of elective tracheostomy was 40.46 years & mean age of emergency tracheostomy was 50.50 years. Here Male was predominant both in elective (M:F= 6.5:1) and emergency tracheostomy (9:1). The common indications of elective tracheostomy were ICSOL (26.67%) & Head injury (26.67%) where as commonest indication of emergency tracheostomy was laryngeal carcinoma (53.33%). The frequency of complication for elective tracheostomy was 9.99% and emergency tracheostomy 33.35%. Here complications were 3.33 times more common in cases of emergency tracheostomy then elective tracheostomy. Key-words: Tracheostomy, elective and emergency. DOI: 10.3329/bjo.v14i2.3282 Bangladesh J of Otorhinolaryngology 2008; 14(2) : 57-62
Highlights
The term tracheotomy is used to refer to the creation of a surgical opening into the trachea
The first group was composed of 30 patients of elective tracheostomy and second group was composed of 30 patients of emergency tracheostomy
Majority (22 cases) of elective tracheostomy patients were selected from I.C.U, in which cases patients were intubated at least 24 hours before tracheostomy
Summary
The term tracheotomy is used to refer to the creation of a surgical opening into the trachea. Tracheostomy is used when a formal opening or stoma is made[1]. The early history of tracheostomy started with Galen & Aretaeus. Galen approved the operation & successfully opened the wind pipe of a goat. In 1934 E.W. Goodall was able to find only twenty eight successful cases of tracheostomy recorded up to the time of Bretonneau[3]. The chief indication were acute inflammations of the pharynx & larynx and the removal of the foreign bodies[3]. Some authors credited Asclepiades of Bittynia (second century A.D) with honour of being the first to perform the operation[2]. The development of tracheostomy has been divided into five periods: the ‘period of legend’ dating from 2000 B.C. to A.D
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