Maturation of the Pediatric Tracheostomy Stoma: Effect on Complications
| Autor: | Harlan R. Muntz, D Prater, J Y Park, Rodney P. Lusk, Dana L. Suskind |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Laryngoscopy Tracheostomy stoma digestive system Stoma 03 medical and health sciences Postoperative Complications Tracheostomy 0302 clinical medicine medicine Retrospective analysis Humans Child 030223 otorhinolaryngology Retrospective Studies medicine.diagnostic_test business.industry Incidence (epidemiology) Infant Newborn Infant Surgical Stomas Granulation tissue Laryngostenosis Retrospective cohort study General Medicine digestive system diseases Surgery surgical procedures operative medicine.anatomical_structure Otorhinolaryngology Child Preschool 030220 oncology & carcinogenesis Anesthesia Granulation Tissue Female Complication business |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 108:1115-1119 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/000348949910801204 |
| Popis: | The pediatric tracheostomy stoma can be matured via a technique that places 4-quadrant sutures from the tracheal cartilage to the dermis. This has the potential of decreasing the risk of accidental decannulation and the formation of granulation tissue. A retrospective analysis of 149 tracheostomies performed between January 1989 and December 1996 was done for the following factors: age, underlying diagnosis, indication for tracheostomy, type of tracheal incision, maturation of stoma, duration of tracheostomy, and early and late (>7 days) complications. Maturation of the stoma was performed in 88 (59.1%) of the 149 tracheostomies. There was an overall complication rate of 21.5% (32/149, not including granulation tissue formation). There were 9 (6.0%) early complications and 23 (15.4%) late complications. The overall incidence of tracheocutaneous fistulas occurred in 11 (11.2%) of the 98 decannulated patients: 6 (10.2%) of the 59 matured stomas and 5 (12.8%) of the 39 nonmatured stomas. Granulation tissue was found on subsequent laryngoscopy in 24 (27.3%) of the 88 matured stomas versus 23 (37.7%) of the 61 nonmatured stomas. There were no tracheostomy-related mortalities. Maturing the tracheostomy stoma resulted in a decreased morbidity from accidental decannulations and did not increase the incidence of tracheocutaneous fistulas or granulation tissue formation. |
| Databáze: | OpenAIRE |
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