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[Surgical technique for institution and plastic closure of the tracheostoma. Ist communication]
Insights
The "sewed-up tracheostomy" offers easier patient care and cannula replacement in intensive care. This surgical technique provides good functional and cosmetic results after decannulation in pediatric patients.
Area of Science:
- Pediatric Surgery
- Intensive Care Medicine
- Surgical Techniques
Context:
- Conventional tracheostomy poses challenges in pediatric intensive care.
- A modified surgical approach, the
- sewed-up tracheostomy
- was developed to address these challenges.
Purpose:
- To evaluate the efficacy and outcomes of the
- sewed-up tracheostomy
- in pediatric patients.
- To describe the surgical techniques, indications, and closure criteria.
- To report on complications and long-term results.
Summary:
- Thirty-one pediatric patients underwent the
- sewed-up tracheostomy
- between 1971 and 1973.
- The technique facilitates patient care and cannula management.
- Plastic closure post-decannulation yielded favorable functional and cosmetic outcomes.
Impact:
- The
- sewed-up tracheostomy
- provides a viable alternative to conventional methods in pediatric intensive care.
- This approach improves patient management and aesthetic results.
- The study contributes to the understanding of tracheostomy techniques in children.
Abstract:
Within the frame of intensive care we do no longer use the conventional tracheostomy but the so called "sewed-up tracheostomy". Between January 1971 until November 1973 31 children of all age-groups were treated by that method. Special care for patients with sewed-up tracheostoma is obviously facilitated. The replacement of cannulas has become easy. Plastic closure after decannulation offers good functional and cosmetic results. Surgical techniques, indications and criteria for institution and closure of the tracheostomas are described and 31 cases are evaluated. Complications occuring during the period of tracheostoma and subsequent to the plastic closure as well as the general fate of the children are reported.