Abstract
Objectives:This study was aimed to compare the early and late complications of tracheotomy in pediatric patient, with respect to surgical techniques.Methods:The relationship between demographic characteristics, surgical techniques obtained from the files of the children and complications developing after surgery were compared retrospectively.Results:One hundred fifty two out of 273 developed complications after tracheotomy. Among these, 75 were early complications and 77 were late complications. Results obtained concerning early complications showed a significant difference between Skin incision and Bleeding and Accidental decannulation; Tracheal incision and Subcutaneous emphysema; surgical time and accidental decannulation and tube/ventilation problem; Surgeon’s skill level and bleeding. As regards late complications there was a significant difference between Intubation Time and Stomal-tracheal granulation; Tracheal incision and Stomal infection; Surgeon’s skill level and Stomal-tracheal granulation.Conclusions:In pediatric tracheotomy the preferred skin incision and tracheal incision, surgeon’s experience, tracheotomoy time and intubation time are important as regards development of early or late complications.
Highlights
It is known that tracheotomoy which is thought to date back to the times before Christ has been used as a lifesaving surgical procedure for centuries
No significant relation was found between Pediatric tracheotomy (PT) indications and early and late complications (Table-II)
When the surgical time and early complications were compared, there was a significant relation between the group who had a surgical time of less than 30 minutes and accidental decannulation (p
Summary
It is known that tracheotomoy which is thought to date back to the times before Christ has been used as a lifesaving surgical procedure for centuries. The extensive use of antibiotics, the development of intubation techniques, the increase in the number of patients receiving intensive care have decreased the number of tracheotomies performed due to upper respiratory tract infections such as epiglottitis and laryngotracheabronchitis and increased the number of tracheotomies done. In PT, multifactorial causes for the development of complications include intubation time, tracheotomy experience, the preferred surgical technique of the surgeon, and the surgeon’s experience.[3,4,5,6,7,8,9]. The aim of this study was to compare the results of early and late complications which developed due to age, gender, surgical indication, intubation time, surgical experience and preferred surgical technique in children who underwent PT over the past decade in an otorhinolaryngology clinic and pediatric intensive care unit which is a tertiary reference center
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