DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20202220

Tracheostomy in paediatric patients

Aditiya Saraf, Raies Ahmad Begh, Deep Jyoti, Padam Singh Jamwal

Abstract


Background: The objective of the study was to evaluate paediatric tracheostomies in the Department of ENT, GMC.

Methods: The present prospective study was performed in the Department of ENT, GMC Jammu from January 2018 to 2020 on 20 paediatric patients (<17 years of age). All children were evaluated with respect to age, indication of tracheostomy, complications (intra-operative and post-operative) and mortality.  

Results: The most common indication for tracheostomy was prolonged intubation (85%). Intraoperative complication in the form of creation of false passage was seen in 1 patient (5%). The most common early post-operative complication was tube obstruction (20%). Late complication in the form of stomal granulation was seen in 2 patients (10%).

Conclusions: Over the years, more specific indications for tracheostomy are followed and better results are observed. Paediatric tracheostomy at our institute was associated with less procedure related morbidity and mortality.


Keywords


Paediatric, Tracheostomy, Granulation

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References


Wetmore RF. Tracheostomy. In: Bluestone CD, Stool SE, Alpes CM, editors. Paediatric otolaryngology. 4th edition. Philadelphia: Saunders; 2003: 1583-1598.

Gooddal EW. The story of tracheostomy. Br J Child Dis. 1934;31:167-76.

Line WS, Hawkins DB, Kahlstrom EJ. Tracheostomy in infants and young children: the changing perspective 1970-1985. Laryngoscope. 1986;96:510-5.

Benjamin B, Reilly OB. Acute epiglottitis in infants and children. Ann Otol Rhinol Laryngol. 1976;85:565-72.

Saunders M. Tracheostomy and home care. In Gleeson M, editor. Scott Brown’s Otorhinolaryngology, head and neck surgery, 7th edition. Hodder Arnold Publishers; 2008: 1194-1209.

Dhingra PL. Tracheostomy and other procedures for airway management. In Dhingra PL, Dhingra S, editors. Diseases of ear, nose and throat and head and neck surgery, 6th edition. Elseiver Publishers; 2014: 316-320.

Fraga JC, Desouza JCK, Kruel J. Pediatric tracheostomy. J Pediatr (Rio J). 2009;85(2):97-103.

Wetmore RF, Handler SD, Potsic WP. Paediatric tracheostomy: experience during past decade. Ann Otol Rhinol Laryngol. 1982;91:628-32.

Mahadevan M, Barber C, Salkeld L. Paediatric tracheostomy: 17 years review. Int J Paeditr Otorhinolaryngol. 2007;71:1829-35.

Atmaca S, Bayraktar C, Asilioglu N. Pediatric tracheotomy: 3 years’ experience at a tertiary care center with 54 children. Turk J Pediatr. 2011;53(5):537-40.

Ozmen S, Ozmen OA, Unal OF. Pediatric tracheostomies: a 37 years’ experience in 282 children. Int J Pediatr Otorhinolaryngol. 2009;73(7):959-61.

Campisi P, Forte V. Pediatric tracheostomy. Seminars in Pediatric Surgery. Semin Pediatr Surg. 2016;25(3):191-5.

Parilla C, Scarano E, Guidi ML. Current trends in paediatric tracheostomies. Int J Paediatr Otorhinolaryngol. 2007;71:1563-7.

Carron JD, Derkay CS, Strope GL. Pediatric tracheostomies: changing indications and outcomes. Laryngoscope. 2000;110:1099-104.