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Elective Tracheostomy in Head and Neck Surgery: Our Experience.
Venkatesh S Anehosur1, Pallavi Karadiguddi2, Vajendra K Joshi3
1Professor and Head, Department of Craniofacial and Maxillary Surgery, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
Journal of Clinical and Diagnostic Research : JCDR
|June 30, 2017
Summary
Elective tracheostomy in head and neck cancer surgery is safe and beneficial for selected patients. This study found no major complications, highlighting its utility in airway management for maxillofacial oncological operations.
Area of Science:
- Head and Neck Surgery
- Oncology
- Surgical Airway Management
Background:
- Tracheostomy is frequently employed for airway securement post-maxillofacial oncological surgery.
- A review was conducted to assess the role of elective tracheostomy in head and neck procedures.
Purpose of the Study:
- To evaluate the incidence and management of complications associated with elective tracheostomy.
- To analyze the overall utility of elective tracheostomy in head and neck surgery.
Main Methods:
- A retrospective review of 50 patients undergoing head and neck cancer treatment.
- Data collected from January 2011 to December 2014 in the Oral and Maxillofacial Surgery department.
Main Results:
- The study observed a male predominance, with an average tracheostomy time of 25 minutes and operative time of 11 hours.
- Patients required a 2-day ICU stay and 1-day elective ventilation, with mild postoperative tracheal secretions. No intraoperative or postoperative complications were reported.
Conclusions:
- Elective tracheostomy, while invasive, can be safely and effectively utilized in carefully selected head and neck cancer patients.
- Proper patient selection is key to realizing the benefits of elective tracheostomy.
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