| Popis: |
Background: Tracheostomy is an important life saving surgical procedure in airway management though often hazardous in emergency setting. Currently its role has been changing due to a rapidly ongoing improvement of intensive care medicine. The present study aimed to describe our ten years experiences with tracheostomy, evaluate the incidence, indications, complications and to compare our results with those in other part of the world. Method: This was a cross-sectional study of 74 patients who had tracheostomy at our otorhinolaryngology facility of the Usmanu Danfodiyo University Teaching Hospital Sokoto, Nigeria from May 2000 and April 2010. Data's extracted from our theatre records were age, sex, indications, complications and the results were compared with similar work in other part of the world. Results: In the 10 years under review a total of 74 tracheostomies were performed. The age range was 7months to 70 years with a male to female ratio of 2.2:1. The peak age incidence was in the age group 0 – 10years (36.5%). The commonest indication for tracheostomy was head and Neck tumour 50(67.6%), of which laryngeal carcinoma constitute 31.1%. Forty-four tracheostomies (59.5%) were performed as an emergency, while 30 (40.5%) as elective procedures. In all our cases, transverse skin incision was employed. Conclusion: The most common indication for tracheostomy in our centre is still upper airway obstruction due to laryngeal carcinoma. |
